Senior Patient Financial Service Representative Physician Practice

Rita Ranch Primary Care

Tucson, Arizona

Department Name: PPA-Rita Ranch-Clinic

Work Shift: Day

Job Category: Revenue Cycle

You have a place in the health care industry. There's more to health care than IV bags and trauma rooms. We support all staff members as they find the path that is right for them. If you're looking to leverage your abilities – you belong at Banner Health. Apply today.

Rita Ranch Primary Care is a convenient location at Houghton and Rita Road. Rita Ranch Primary Care has an amazing team of providers and support staff that are welcoming to patients and each other. We like to host students during their externship giving our group the opportunity to be part of a successful education experience.

The selected candidate will have knowledge of patient financial services, financial collecting services or insurance industry experience processes. They will have the ability to work collectively with a dedicated group of healthcare professionals to ensure patients have a positive experience. In this role, you will welcome patients, assist them in getting checked in or out, collect co-pays/deductibles, complete confirmation calls, process estimates via software that confirms insurance coverage, schedule patients for their next visit, help reschedule patients when needed and assist with some of these tasks for other clinics all while performing data entry with an eye for detail. This candidate will have excellent customer service skills and make patients and visitors feel welcomed. A career with our team is a terrific opportunity if you are looking to take that next step in your career.

Location: BUMG Rita Ranch Primary Care

8290 S Houghton Rd, Suite 150

Tucson AZ 85747

Schedule: Monday - Friday, Hours vary from 7:00am-6:00pm

Banner University Medical Group is our nonprofit faculty practice plan associated with the University of Arizona Colleges of Medicine in Phoenix and Tucson. Our 800-plus clinicians provide primary and specialty care to patients at highly ranked Banner - University Medical Centers and dozens of clinics while providing mentorship to more than 700 residents and fellows. Our practice values and encourages the three-part mission of academic medicine: research, education and excellent patient care.

POSITION SUMMARY

This position provides leadership for an admitting/registration team. Conducts registration and obtains financial reimbursement for all patients accessing service at medical facilities. Reviews all account information to optimize collection efforts and system recording events to expedite reimbursement and compliance; resolves issues as they arise to promote point of service decisions. Performs financial counseling when appropriate. Explains and obtains signatures on hospital legal forms i.e. Conditions of Admission, Financial Agreement, Advance Directive, Hospital Grievance policy. Collects and releases patient valuables in accordance with Administrative Policies.

CORE FUNCTIONS

1. Serve as an example to peers for both behaviors and performance of job functions. Provide leadership and training to Patient Financial Services Representatives, and act as a knowledge resource for internal customers. Serve as a primary resource in complex and/or sensitive cases. Oversees patient flow during the shift and assigns job duties to staff to ensure patient flow is maintained at an optimal level. Resolves employee/patient issues that arise during shift and communicates issues to supervisor for follow up. Trains new hires and/or internal transfers thoroughly and provide on-going guidance to ensure their success.

2. Performs registration/check-in processes, including but not limited to performing data entry activities, providing patients with appropriate information and intake forms, obtaining necessary signatures and generating population health summary.

3. Verifies insurance eligibility benefits for services rendered with the payors and documents appropriately. Assists in obtaining or validating pre-certification, referrals, and authorizations.

4. Calculates and collects patient liability according to verification of insurance benefits and expected reimbursement. Explains and provides financial policies and available resources for alternative payment arrangements to patients and their families.

5. Enters payments/charges for services rendered and performs daily payment/charge reconciliation in a timely and accurate manner. Balances cash drawer at the beginning and end of the day and prepares daily bank deposit with necessary paperwork sent to centralized billing for record purposes.

6. Schedules office visits and procedures within the medical practice(s) and external practices as necessary. Maximizes reimbursement by scheduling patients in accordance with payor plan provisions. Confirms patient appointments for the following day as necessary and ensures patients are properly prepared for visits.

7. Demonstrates proactive interpersonal communications skills while dealing with patient concerns through telephone calls, emails and in-person conversations. Optimizes patient flow by using effective customer service/communication skills by communicating to internal and external customers, care team, management, centralized services and HIMS.

8. Assists in responding to requests for patient medical records according to company policies and procedures, and state and federal laws.

9. Works independently under general supervision, leads and follows structured work routines. Works in a fast paced, multi task environment with high volume and immediacy needs requiring independent decision making and sound judgment to prioritize work and ensure appropriateness and timeliness of each patient's care. This position requires the ability to retain large amounts of changing payor information/knowledge crucial to attaining reimbursement for the services provided. Primary external customers include patients and their families, physician office staff and third party payors.

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 two or more years of work experience. Requires knowledge of medical terminology and a broad understanding of all common insurance and payor types and authorization requirements. Strong knowledge in the use of common office software, word processing, spreadsheet, and database software are required. 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.

PREFERRED QUALIFICATIONS

Work experience with the Company's systems and processes is preferred. Previous cash collections experience is preferred. May have related experience with financial institution or background. Additional related education and/or experience preferred.