Senior Acute Patient Access Services Representative

Primary City/State:

San Tan Valley, Arizona

Department Name:

Admitting-Hosp

Work Shift:

Night

Job Category:

Revenue Cycle

Schedule: Monday, Tuesday, and Wednesday 6:00pm to 6:00am

Must be able to complete 2 weeks of training during business hours (Monday - Friday 8:00am to 5:00pm)

ON CALL and Holidays are required, these will be assigned after hire (these are assigned for the whole year Jan-Dec) for work/home life balance 

Enjoy a flat rate $1/hour weekend shift differential and an 18% night shift differential when applicable.

Great careers are built at Banner Health. There’s more to health care than doctors and nurses. We support all staff members as they find the path that’s right for them. Apply today, this could be the perfect opportunity for you.

The Acute Patient Access Services Representative will be supporting the Emergency room, must be a quick thinker, verifying demographics with high accuracy, running insurance benefits, creating estimates, collecting copay/deductibles even in emergency situations, room visits, face to face registrations, may be on your feet for 12 hour shift depending on volumes, work well in a fast paced environment, get forms signed to stay in compliance.

Banner Ironwood Medical Center is committed to meeting the ever-changing needs of the southeast communities of metropolitan Phoenix. Our first patient tower has 47 beds, including eight LDR rooms and can accommodate up to 89 beds when fully equipped. We also feature a full service emergency department, four surgical suites and medical imaging services. With our 80-acre campus, more than 500 beds and supporting health services could be built on our site. This means an exceptional opportunity for you to establish a career where the potential for growth is limitless.

POSITION SUMMARY

This position is the first point of contact at healthcare facilities and assist patients with the administrative aspect of gaining access to medical treatment. This position is in a hospital-based setting which includes Emergency Dept, Inpatient, Obstetrics, Outpatient, etc. Responsible for in person patient intake and registration, providing superior customer service, accurately identifying, and obtaining authorizations patients’ insurance, verifying eligibility and benefits, generating patient estimates for services rendered, financial counseling, and collecting patient liability. Demonstrates the ability to resolve customer issues and provides excellent customer service. This position provides mentoring, training and offers on-going guidance as needed for a Patient Access team. Additionally, Senior Representatives will function as the primary resource/SME for team member workflow questions and concerns.

CORE FUNCTIONS

1. Verifies patient’s demographics and accurately inputs this information into EHR, including documenting the account thoroughly to maximize reimbursement and minimize denials/penalties from the payor(s).

2. Proficiency with multiple services including, but not limited to inpatient, observation, emergency, obstetrics, surgery, imaging. This position may cover services 24/7.

3. Demonstrates a thorough understanding of insurance guidelines for all services. Proficiently verifies, reads, and understands insurance benefits.

4. Demonstrates proficient understanding that this position creates the first impression for our patient's experience with Banner Health. Demonstrates a positive patient experience through interactions and effective communication.

5. Proficient understanding of payer authorization guidelines. Accurately submits timely notification according to insurance guidelines using various systems to reduce/eliminate denials. Consistently meets all registration related key performance indicators as determined by management.

6. Obtains federal/state compliance information, consents and documentation required by the patient’s insurance plan(s). This includes a thorough understanding of accurately completing hospital-based compliance forms required by CMS. Uses multiple computer applications proficiently.

7. Consistently discusses financial liability with the patient(s) and/or families that includes: collection in full of patient liability, assisting patient in applying for Banner Line of Credit, setting up payment plans and/or assisting patient with Banner Financial Assistance policy/application.

8. Provides a variety of patient services and financial services tasks. May be assigned functions such as transporting patients, training new hire e