Patient Financial Services Representative Ortho Sports Institute

Primary City/State:

Phoenix, Arizona

Department Name:

Orthopedic Surgery

Work Shift:

Day

Job Category:

Revenue Cycle

Those who have joined the Banner mission come from all walks of life, united by the common goal: Make health care easier, so life can be better. If changing health care for the better sounds like something you want to be part of, we want to hear from you!

This position will be at the Orthopedic & Sports Medicine Institute and Concussion Clinic located at Banner University Medical Center in Phoenix. Whether you have back pain, joint issues, torn ligaments or a complex fracture, we treat all injuries and disorders of the musculoskeletal system. Our doctors use advanced surgical and minimally invasive techniques to reduce pain and get you moving.

As a PFS Rep on this team, you will be an integral part of the patient's Banner experience looking to provide each person with the best customer service and patient care and will check in/out patients, chart prep, collect co-pays, reminder calls, etc. Medical front office experience is preferred.

This is a full time, day shift, Mon-Fri 8:00AM-5:00PM

Location: 755 E McDowell Rd, 2nd floor, Phoenix, AZ 85006. This growth opportunity is Monday-Friday only. Our providers are the docs to the Phoenix Suns, Phoenix Mercury, AZ Diamondbacks, and Brewers.

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 conducts registration, point of service collections and obtains authorizations and forms needed to maximize reimbursement. Document all facets of the registration process and meet accuracy goals as determined by management. Collect payments and meet regular collection targets as determined by management. Demonstrates the ability to collect payments, to resolve customer issues and provide excellent customer service. Perform financial counseling when appropriate.

CORE FUNCTIONS
1. Performs pre-registration/registration processes, verifies eligibility and obtains authorizations, submits notifications and verifies authorizations for services. Verifies patient’s demographics and accurately inputs this information into A/D/T system, including documenting the account thoroughly in order to maximize reimbursement and minimize denials/penalties from the payor(s). Obtains federally/state required information and all consents and documentation required by the patient’s insurance plan(s). Must be able to consistently meet monthly individual accuracy goal as determine by management.

2. Verifies and understands insurance benefits, Collects patient responsibility based on estimates at the time of service or during the pre-registration process. As assigned collection attempts may be made at the bedside. Must be able to consistently meet monthly individual collection target as determined by management.

3. May provide financial counseling to patients and their families. Explains company financial policies and provides information as to available resources. Assists patients with applying for Medicaid. Assists patients with completing all financial assistance programs (i.e.: basic financial assistance, enhanced financial assistance, prompt pay discount, loan program).

4. Acts as a liaison between the patient, the billing department, vendors, physician offices and the payor to enhance account receivables performance and meet payment collection goals, resolve outstanding issues and/or patient concerns and maximize service excellence.

5. Communicates with physicians, clinical and hospital staff, nursing and Health Information Management Services to resolve outstanding issues and/or patient concerns. Work to meet the patient’s needs in financial services.

6. Consistently meets monthly individual productivity goal as determined by management. Completes daily assignments/work lists, keeps electronic productivity log up to date an