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Patient Financial Services Rep Medicaid & AHCCCS

Company: Banner Health
Location: Tucson
Posted on: May 20, 2019

Job Description:

Your Journey with us began the moment you made the choice to seek a career with Banner Health. Whether you are just beginning your career, or your Journey has spanned 30 years, Banner's employer commitment is: "We'll help make a difference in your life and career, so you can make a difference in the lives of others." The Physician Billing Office dedicated to the Provider Payer Units department is responsible for timely billing, collections and follow up of denied claims with insurance plans for services rendered by our providers. Specialty billing handles transplant, behavioral health, and workers compensation. This will include all Tucson clinicians both in Clinics and Hospitals. This is a large department with many opportunities for growth and advancement. This Patient Financial Services (PFS) Representative is responsible for the research and review of open encounters. They will take necessary actions including reaching out to other departments within the Revenue Cycle to obtain information and/or documentation required to obtain payment for our claims. They will review patient accounts to ensure timely billing and following up with payers to make sure claims are processed to be paid. They will also work denials that may come in and update information for reimbursement. Your pay and benefits (Total Rewards) are important components of your Journey at Banner Health. Banner Health offers a variety of benefit plans to help you and your family. We provide health and financial security options, so you can focus on being the best at what you do and enjoying your life. * -- About Banner Health Corporate Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care. About Banner Health Banner Health is one of the largest, nonprofit health care systems in the country and the leading nonprofit provider of hospital services in all the communities we serve. Throughout our network of hospitals, primary care health centers, research centers, labs, physician practices and more, our skilled and compassionate professionals use the latest technology to make health care easier, so life can be better. The many locations, career opportunities, and benefits offered at Banner Health help to make the Banner Journey unique and fulfilling for every employee. * -- Job Summary This position coordinates and facilitates patient billing and collection activities in one or more assigned areas of billing, payment posting, collections, payor claims research, and other accounts receivable work. Works as a member of a team to ensure reimbursement for services in a timely and accurate manner. Essential Functions May be assigned to process payments, adjustments, claims, correspondence, refunds, denials, financial/charity applications, and/or payment plans in an accurate and timely manner, meeting goals in work quality and productivity. Coordinates with other staff members and physician office staff as necessary ensure correct processing. As assigned, reconciles, balances and pursues account balances and payments, and/or denials, working with payor remits, facility contracts, payor customer service, provider representatives, spreadsheets and the companys collection/self-pay policies to ensure maximum reimbursement. May be assigned to research payments, denials and/or accounts to determine short/over payments, contract discrepancies, incorrect financial classes, internal/external errors. Makes appeals and corrections as necessary. Builds strong working relationships with assigned business units, hospital departments or provider offices. Identifies trends in payment issues and communicates with internal and external customers as appropriate to educate and correct problems. Provides assistance and excellent customer service to these internal clients. Responds to incoming calls and makes outbound calls as required to resolve billing, payment and accounting issues. Provides assistance and excellent customer service to patients, patient families, providers, and other internal and external customers. Works as a member of the patient financial services team to achieve goals in days and dollars of outstanding accounts. Reduces Accounts Receivable balances. Uses systems to document and to provide statistical data, prepare issues list(s) and to communicate with payors accurately. Minimum Qualifications High school diploma/GED or equivalent working knowledge. Requires knowledge of patient financial services, financial, collecting services or insurance industry experience processes normally acquired over one or more years of work experience.Requires the ability to manage multiple tasks simultaneously with minimal supervision and to work independently. Requires strong interpersonal, oral, and written communication skills to effectively interact with a wide range of audiences. Strong knowledge in the use of common office software, word processing, spreadsheet, and database software are required. Preferred Qualifications Work experience with the Companys systems and processes is preferred. Previous cash collections experience is preferred. Additional related education and/or experience preferred.SDL2017

Keywords: Banner Health, Tucson , Patient Financial Services Rep Medicaid & AHCCCS, Sales , Tucson, Arizona

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