Patient Financial Services Representative Heart Institute

Primary City/State:

Phoenix, Arizona

Department Name:

BUMCP Cardiovascular

Work Shift:

Day

Job Category:

Revenue Cycle

Good health care is key to a good life. At Banner Health, we understand that, and that’s why we work hard every day to make a difference in people’s lives. Do you like the idea of making a positive change in people’s lives – and your own? If so, this could be the perfect opportunity for you.

The Banner University Heart Institute cares for a high volume of heart disease patients throughout the state of Arizona and the southwest. Our physicians stand out as being active participants in national research and as providers of cardiac training to physicians from all over the United States and the world. Our goal is to offer patients excellent cardiac services by providing safe, compassionate care and the best advanced treatment options.

As a PFS Rep you will check-in/out patient visits, run estimates, do payment collections, call insurances, appointment confirmations, schedule/reschedule appts. Requires customer service skills, multitasking, positive and energetic attitude, and reliability. Enjoy no weekends, tuition reimbursement and potential for future growth.

This is a full time (40 hours/week), day shift position: Monday - Friday 8am-5pm

University Medical Center Phoenix is a nationally recognized academic medical center. The world-class hospital is focused on coordinated clinical care, expanded research activities and nurturing future generations of highly trained medical professionals. Our commitment to nursing excellence has enabled us to achieve Magnet™ recognition by the American Nurses Credentialing Center. The Phoenix campus, long known for excellent patient care, has over 730 licensed beds, several unique specialty units and is the new home for medical discoveries, thanks to our collaboration with the University of Arizona College of Medicine - Phoenix. Additionally, the campus responsibilities include fully integrated multi-specialty and sub-specialty clinics and has operations in multiple locations spanning across the Phoenix metropolitan city.

POSITION SUMMARY
This position coordinates a smooth patient flow process by answering phones, scheduling patient appointments, providing registration of patient and insurance information, obtaining required signatures following established processes, procedures and standards. This position also verifies insurance coverage, validates referrals and authorizations, collects patient liability and provides financial guidance to patients to maximize medical services reimbursement efforts. This also includes accurately posting patients at the point of service and releasing information in accordance with organizational and compliance policies and guidelines.

CORE FUNCTIONS
1. 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.

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

3. 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.

4. 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.

5. 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.

6. 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.

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

8. Provides a variety of patient services to assist in patient flow including but not limited to