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Provider Services Representative jobs at Banner Health - 24 jobs

  • Medical Assistant Registration Representative Surgery

    Banner Health 4.4company rating

    Provider services representative job at Banner Health

    Primary City/State: Glendale, Arizona Department Name: C/P-BTMC Vascular Surgery-Clin Work Shift: Day Job Category: Clinical Care Great careers are built at Banner Health. We understand that talented health care professionals appreciate having options. We are proud to offer our team members many career and lifestyle choices throughout our network of facilities. Apply today, this could be the perfect opportunity for you. Banner Health Clinics provide comprehensive care for family members of all ages. Our goal is to build lasting relationships with our patients and create personalized care plans to support each patient's specific health needs As a Medical Assistant Registration Representative you'll work alongside physicians and healthcare staff dedicated to providing a positive patient experience. Our clinic offers a friendly customer focused environment where you can to apply your love patient care and teamwork. We are an energetic, fast paced team, serving a vast age range of patients. A career with our team is great if you are just starting out or have many years of experience. If you are ready to be challenged, work in a positive environment and contribute to making a change in people's lives, then we are the perfect team for you. Location: Banner Health Clinic General Surgery - 5757 W Thunderbird Rd, Suite E45 Glendale, AZ Schedule: Monday - Friday 8:00am - 4:30pm At Banner Medical Group, you'll have the opportunity to perform a critical role in the community where you practice. Banner Medical Group provides both primary and specialty care throughout the communities in which Banner Health operates. We do this in a variety of settings - from smaller group practices like our Banner Health Clinics in Colorado and Wyoming, to large multi-specialty Banner Health Centers in the metropolitan Phoenix area. We currently have more than 1,000 physicians and more than 3,500 total employees in our group and are seeking others to enhance our ability to deliver our nonprofit mission of providing excellent patient care. POSITION SUMMARY This position is responsible for performing secretarial, reception, medical assisting and initial patient needs assessment functions. Provides outstanding customer service and ensures a smooth patient flow process by providing services in admissions, financial counseling, billing, scheduling patients, paperwork completion, explanation of procedures, making of appointments, and conducts registration. Explains and obtains signatures on forms such as registration, medical history, Conditions of Admission, Financial Agreement, Advance Directive, and Hospital Grievance policy. Receives referrals from physicians, obtains authorizations and calls insurance plans for verifications. At time of service is able to receipt cash and record accurately as well as enter charges and perform charge reconciliation. Also assists clinicians in providing medical care and in office testing as well as implementing and evaluating direct patient care. Utilizes special knowledge, judgment and skills necessary to provide appropriate patient care. CORE FUNCTIONS 1. Performs registration processes, verifies insurance coverage and obtains authorization notification. Accurately documents information and performs data-entry to ensure maximum reimbursement. Obtains necessary signatures specific to patients' insurance plan. Calculates patient liability according to verification of insurance benefits. Collects deposits and co-payments. Provides financial counseling for patients and their families by explaining financial policies and providing available resources for alternative payment arrangements. Assists patients and their families with completing financial documents when appropriate. 2. Serves as a liaison between the patient, billing department, and payor to enhance account receivables, resolve outstanding issues and/or patient concerns. Enters charges for services delivered and does daily 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 faxed to PBO. Adheres to all billing procedures including preparation of Medicare billing at the end of the month within specific timelines. 3. Responsible for scheduling of patients, families, procedures, and physician appointments. Assists in scheduling routine appointments within the medical practice(s) and external practices as necessary. Assists in obtaining pre-certification, referrals, authorizations, prescriptions refills and other medical testing as necessary. Responsible for communicating test results to patient. Acts as a resource to clinician in order to provide optimal patient care. 4. Optimizes patient flow by using effective customer service communication skills utilizing kindness, tact and courtesy to ensure positive patient response to service. Demonstrates proactive interpersonal communications skills when relating to internal and external customers. Uses discretion and is attentive to issues of customer confidentiality. Demonstrates skills in pro-active resolution and attempts to resolve scheduling conflicts. 5. Provides support to include, answering the phones, returning phone messages, pick-up/prioritizing/distributing mail, completing purchase requests, ordering supplies/forms, coordinating/scheduling meetings, maintaining and re-stocking exam rooms and lobby. Monitors inventory including medication/injectables and immunizations, i.e., expired medications, recalls and patient tracking. Responsible for the medical records for the assigned area. Ensures medical records are pulled and ready daily. Initiates obtaining needed records from hospitals, practices, and other ancillary departments. Follows guidelines and assists in developing procedures to ensure that medical records are in compliance with all state and federal laws. 6. Prepares patient for exam and treatment by taking and recording vitals signs, symptoms, medication list, symptoms and other necessary measurements and recording chief complaint. Reports condition of patient which may be indicative of changes of the patient's condition to the clinician. Assists providers with exams and minor office procedures and acts as a chaperon if needed. 7. Performs office-based testing and treatments related to patient care under supervision of a clinician. Performs and records daily/monthly quality control on all office based testing and treatment. Maintains a log book of results and lot numbers. Collects and prepares specimens for laboratory testing including phlebotomy. Uses universal blood and body fluid precautions at all times and personal protective equipment as needed. 8. Maintains a clean, functional environment including cleaning and disinfection of equipment, exam rooms and storage areas. Disinfects equipment and instruments using appropriate solutions following sterilization procedures through Materials Management. Follow's manufacturer's recommendations and OSHA guidelines of handling hazardous substances. Performs and records daily/monthly quality control on all equipment. 9. This position works under the direct supervision of the providers, following established procedures. Uses established knowledge and problem-solving skills with to work independently in a fast paced, multi-task environment. Responsibility for ensuring efficient coordination of billing processes, financial counseling, client scheduling, maintaining and handling of documentation, and patient flow. Interacts with all levels of staff internal and external, including patients and their families, physician offices, third party payors, vendors, clinical staff, ancillary staff, therapist, nurses and case managers. Also interacts with physician in order to report and ask for or clarify information. Prioritizes data from multiple sources to provide support for the response of the patient and family in changes in health status. Primary responsibility is to main department assigned, however cross-over and assistance to other departments is required. MINIMUM QUALIFICATIONS High school diploma/GED or equivalent working knowledge. Must be a graduate of an Accredited Medical Assisting Program and/or Certified Medical Assistant with experiential training in medical front office and insurance billing procedures. Active Medical Assistant Certification is required. Certification or additional training must meet the requirements for Meaningful use. BLS certification required. Active Medical Assistant certification such as: Registered Medical Assistant (RMA) and proof of current membership from American Medical Technologists (AMT) Certified Medical Assistant (CMA) and proof of current membership from American Association of Medical Assistants (AAMA) Certified Clinical Medical Assistant (CCMA) and proof of current membership from National Health Career Association (NHA) (Test administered after 7/1/2017 only) National Certified Medical Assistant (NCMA) and proof of current membership from National Certified Competency Testing (NCCT) Requires the ability to perform basic math functions and to assemble data into reports using spreadsheet programs. Must have the ability to handle confidential information and sensitive issues. Must be able to work under minimal supervision and make independent decisions using good judgment. Requires excellent communication, human relations, attention to detail and organizational skills. Requires the ability to multi-task activities. Must be able to communicate effectively to various ethnic and cultural backgrounds obtaining necessary resources when language barriers present. Requires the ability to perform efficiently with some analytical/problem solving skills. Requires exceptional interpersonal and communication skills. Requires the ability to manage multiple changing priorities in an effective and organized fashion. Requires strong computer skills, including the ability to work with medical software. Employees working at Banner Behavioral Health Hospital, BTMC Behavioral, and BUMG, BUMCT, or BUMCS in a Behavioral Health clinical setting that serves children must possess an Arizona Fingerprint Clearance Card at the time of hire and maintain the card for the duration of their employment. An Arizona Criminal History Affidavit must be signed upon hire. PREFERRED QUALIFICATIONS One to two years of experience working with patient flow and/or similar medical office work preferred. Previous medical assisting experience in a healthcare setting preferred. Additional related education and/or experience preferred. EEO Statement: EEO/Disabled/Veterans Our organization supports a drug-free work environment. Privacy Policy: Privacy Policy
    $33k-39k yearly est. Auto-Apply 8d ago
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  • Medical Assistant Registration Representative Surgery

    Banner Health 4.4company rating

    Provider services representative job at Banner Health

    **Primary City/State:** Glendale, Arizona **Department Name:** C/P-BTMC Vascular Surgery-Clin **Work Shift:** Day **Job Category:** Clinical Care Great careers are built at Banner Health. We understand that talented health care professionals appreciate having options. We are proud to offer our team members many career and lifestyle choices throughout our network of facilities. Apply today, this could be the perfect opportunity for you. **Banner Health Clinics** provide comprehensive care for family members of all ages. Our goal is to build lasting relationships with our patients and create personalized care plans to support each patient's specific health needs **As a Medical Assistant Registration Representative** you'll work alongside physicians and healthcare staff dedicated to providing a positive patient experience. Our clinic offers a friendly customer focused environment where you can to apply your love patient care and teamwork. We are an energetic, fast paced team, serving a vast age range of patients. A career with our team is great if you are just starting out or have many years of experience. If you are ready to be challenged, work in a positive environment and contribute to making a change in people's lives, then we are the perfect team for you. **Location:** Banner Health Clinic General Surgery - 5757 W Thunderbird Rd, Suite E45 Glendale, AZ **Schedule:** Monday - Friday 8:00am - 4:30pm At Banner Medical Group, you'll have the opportunity to perform a critical role in the community where you practice. Banner Medical Group provides both primary and specialty care throughout the communities in which Banner Health operates. We do this in a variety of settings - from smaller group practices like our Banner Health Clinics in Colorado and Wyoming, to large multi-specialty Banner Health Centers in the metropolitan Phoenix area. We currently have more than 1,000 physicians and more than 3,500 total employees in our group and are seeking others to enhance our ability to deliver our nonprofit mission of providing excellent patient care. POSITION SUMMARY This position is responsible for performing secretarial, reception, medical assisting and initial patient needs assessment functions. Provides outstanding customer service and ensures a smooth patient flow process by providing services in admissions, financial counseling, billing, scheduling patients, paperwork completion, explanation of procedures, making of appointments, and conducts registration. Explains and obtains signatures on forms such as registration, medical history, Conditions of Admission, Financial Agreement, Advance Directive, and Hospital Grievance policy. Receives referrals from physicians, obtains authorizations and calls insurance plans for verifications. At time of service is able to receipt cash and record accurately as well as enter charges and perform charge reconciliation. Also assists clinicians in providing medical care and in office testing as well as implementing and evaluating direct patient care. Utilizes special knowledge, judgment and skills necessary to provide appropriate patient care. CORE FUNCTIONS 1. Performs registration processes, verifies insurance coverage and obtains authorization notification. Accurately documents information and performs data-entry to ensure maximum reimbursement. Obtains necessary signatures specific to patients' insurance plan. Calculates patient liability according to verification of insurance benefits. Collects deposits and co-payments. Provides financial counseling for patients and their families by explaining financial policies and providing available resources for alternative payment arrangements. Assists patients and their families with completing financial documents when appropriate. 2. Serves as a liaison between the patient, billing department, and payor to enhance account receivables, resolve outstanding issues and/or patient concerns. Enters charges for services delivered and does daily 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 faxed to PBO. Adheres to all billing procedures including preparation of Medicare billing at the end of the month within specific timelines. 3. Responsible for scheduling of patients, families, procedures, and physician appointments. Assists in scheduling routine appointments within the medical practice(s) and external practices as necessary. Assists in obtaining pre-certification, referrals, authorizations, prescriptions refills and other medical testing as necessary. Responsible for communicating test results to patient. Acts as a resource to clinician in order to provide optimal patient care. 4. Optimizes patient flow by using effective customer service communication skills utilizing kindness, tact and courtesy to ensure positive patient response to service. Demonstrates proactive interpersonal communications skills when relating to internal and external customers. Uses discretion and is attentive to issues of customer confidentiality. Demonstrates skills in pro-active resolution and attempts to resolve scheduling conflicts. 5. Provides support to include, answering the phones, returning phone messages, pick-up/prioritizing/distributing mail, completing purchase requests, ordering supplies/forms, coordinating/scheduling meetings, maintaining and re-stocking exam rooms and lobby. Monitors inventory including medication/injectables and immunizations, i.e., expired medications, recalls and patient tracking. Responsible for the medical records for the assigned area. Ensures medical records are pulled and ready daily. Initiates obtaining needed records from hospitals, practices, and other ancillary departments. Follows guidelines and assists in developing procedures to ensure that medical records are in compliance with all state and federal laws. 6. Prepares patient for exam and treatment by taking and recording vitals signs, symptoms, medication list, symptoms and other necessary measurements and recording chief complaint. Reports condition of patient which may be indicative of changes of the patient's condition to the clinician. Assists providers with exams and minor office procedures and acts as a chaperon if needed. 7. Performs office-based testing and treatments related to patient care under supervision of a clinician. Performs and records daily/monthly quality control on all office based testing and treatment. Maintains a log book of results and lot numbers. Collects and prepares specimens for laboratory testing including phlebotomy. Uses universal blood and body fluid precautions at all times and personal protective equipment as needed. 8. Maintains a clean, functional environment including cleaning and disinfection of equipment, exam rooms and storage areas. Disinfects equipment and instruments using appropriate solutions following sterilization procedures through Materials Management. Follow's manufacturer's recommendations and OSHA guidelines of handling hazardous substances. Performs and records daily/monthly quality control on all equipment. 9. This position works under the direct supervision of the providers, following established procedures. Uses established knowledge and problem-solving skills with to work independently in a fast paced, multi-task environment. Responsibility for ensuring efficient coordination of billing processes, financial counseling, client scheduling, maintaining and handling of documentation, and patient flow. Interacts with all levels of staff internal and external, including patients and their families, physician offices, third party payors, vendors, clinical staff, ancillary staff, therapist, nurses and case managers. Also interacts with physician in order to report and ask for or clarify information. Prioritizes data from multiple sources to provide support for the response of the patient and family in changes in health status. Primary responsibility is to main department assigned, however cross-over and assistance to other departments is required. MINIMUM QUALIFICATIONS High school diploma/GED or equivalent working knowledge. Must be a graduate of an Accredited Medical Assisting Program and/or Certified Medical Assistant with experiential training in medical front office and insurance billing procedures. Active Medical Assistant Certification is required. Certification or additional training must meet the requirements for Meaningful use. BLS certification required. Active Medical Assistant certification such as: Registered Medical Assistant (RMA) and proof of current membership from American Medical Technologists (AMT) Certified Medical Assistant (CMA) and proof of current membership from American Association of Medical Assistants (AAMA) Certified Clinical Medical Assistant (CCMA) and proof of current membership from National Health Career Association (NHA) (Test administered after 7/1/2017 only) National Certified Medical Assistant (NCMA) and proof of current membership from National Certified Competency Testing (NCCT) Requires the ability to perform basic math functions and to assemble data into reports using spreadsheet programs. Must have the ability to handle confidential information and sensitive issues. Must be able to work under minimal supervision and make independent decisions using good judgment. Requires excellent communication, human relations, attention to detail and organizational skills. Requires the ability to multi-task activities. Must be able to communicate effectively to various ethnic and cultural backgrounds obtaining necessary resources when language barriers present. Requires the ability to perform efficiently with some analytical/problem solving skills. Requires exceptional interpersonal and communication skills. Requires the ability to manage multiple changing priorities in an effective and organized fashion. Requires strong computer skills, including the ability to work with medical software. Employees working at Banner Behavioral Health Hospital, BTMC Behavioral, and BUMG, BUMCT, or BUMCS in a Behavioral Health clinical setting that serves children must possess an Arizona Fingerprint Clearance Card at the time of hire and maintain the card for the duration of their employment. An Arizona Criminal History Affidavit must be signed upon hire. PREFERRED QUALIFICATIONS One to two years of experience working with patient flow and/or similar medical office work preferred. Previous medical assisting experience in a healthcare setting preferred. Additional related education and/or experience preferred. **EEO Statement:** EEO/Disabled/Veterans (***************************************** Our organization supports a drug-free work environment. **Privacy Policy:** Privacy Policy (********************************************************* EOE/Female/Minority/Disability/Veterans Banner Health supports a drug-free work environment. Banner Health complies with applicable federal and state laws and does not discriminate based on race, color, national origin, religion, sex, sexual orientation, gender identity or expression, age, or disability
    $33k-39k yearly est. 7d ago
  • Provider Relations Specialist (Remote Option within SHP Service Area)

    Sanford Health 4.2company rating

    Marshfield, WI jobs

    Come work at a place where innovation and teamwork come together to support the most exciting missions in the world!Job Title:Provider Relations Specialist (Remote Option within SHP Service Area) Cost Center:682891544 SHP-Provider Network MgmtScheduled Weekly Hours:40Employee Type:RegularWork Shift:Mon-Fri; day shifts (United States of America) Job Description: JOB SUMMARY The Provider Relations Specialist works in cooperation with the Contracting Manager - Marshfield Clinic Health System Provider Network and other department and organization colleagues to deliver superior service to our comprehensive network of affiliated health care providers. This individual serves as the primary liaison between Security Health Plan (SHP) and affiliated providers for escalated and contractual issues across various lines of business, with limited supervision. The Provider Relations Specialist is responsible for relationship management activities for hospital, professional, vendor, care system and/or ancillary providers including: development and execution of issue escalation strategies, educational programs, onsite visit criteria, special initiatives, and building and preserving strong provider relationships JOB QUALIFICATIONS EDUCATION For positions requiring education beyond a high school diploma or equivalent, educational qualifications must be from an institution whose accreditation is recognized by the Council for Higher Education and Accreditation. Minimum Required: Associate degree or 60+ credits in health care, business, marketing, education, or related field. Preferred/Optional: Bachelor's degree in business administration, accounting, health care, finance, or related field. EXPERIENCE Minimum Required: Three years' experience in a medical group practice or health insurance/Health Maintenance Organization (HMO) environment. Experience with healthcare claims and insurance reimbursement methods, and understanding of contract terminology. Working knowledge of health care delivery systems and concepts of managed care. Demonstrated proficiency with the Microsoft Office suite. Excellent written and verbal communication skills. Demonstrated ability to take initiative, utilize critical thinking, and bring forth solutions to identified issues. Preferred/Optional: Experience in provider relations, including well-defined communication skills and a demonstrated aptitude for communicating with both business users and technical staff. Strong interpersonal, problem solving and relationship building experience. Credentialing or claims experience preferred. CERTIFICATIONS/LICENSES The following licensure(s), certification(s), registration(s), etc., are required for this position. Licenses with restrictions are subject to review to determine if restrictions are substantially related to the position. Minimum Required: None Preferred/Optional: None Marshfield Clinic Health System is committed to enriching the lives of others through accessible, affordable and compassionate healthcare. Successful applicants will listen, serve and put the needs of patients and customers first. Exclusion From Federal Programs: Employee may not at any time have been or be excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment. Employee must immediately notify his/her manager or the Health System's Compliance Officer if he/she is threatened with exclusion or becomes excluded from any federally funded program. Marshfield Clinic Health System is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.
    $46k-59k yearly est. Auto-Apply 10d ago
  • Denials & Follow-up Rep- Benson- Remote

    Ochsner Health System 4.5company rating

    New Orleans, LA jobs

    We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. We believe that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways. At Ochsner, whether you work with patients every day or support those who do, you are making a difference and that matters. Come make a difference at Ochsner Health and discover your future today! This job is primarily responsible for resolving all outstanding insurance account receivables. Responsibilities include, but are not limited to, performing collection and billing activities related to account resolution, and communicating with payors (Government and Commercial), clients, reimbursement vendors, and other external resources such as patients. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential duties. This is a summary of the primary duties and responsibilities of the job and position. It is not intended to be a comprehensive or all-inclusive listing of duties and responsibilities. Contents are subject to change at the company's discretion. Education Required - High School diploma or equivalent Preferred - Associates Degree or Bachelor Degree Work Experience Required - 1 year related experience in related hospital, clinic, medical office, business services/revenue cycle, front line registration, financial counseling, banking and/or customer service related job Preferred - Prior experience working with EPIC system Knowledge Skills and Abilities (KSAs) Must have computer skills and dexterity required for data entry and retrieval of required job information. Effective verbal and written communication skills and the ability to present information clearly and professionally to varying levels of individuals throughout the patient care process. Must be proficient with Windows-style applications, keyboard, and various software packages specific to role. Strong interpersonal skills. Ability to multi-task. Ability to perform effectively in a fast paced ever changing environment. Ability to remain calm and professional in high pressure/stressful situations regarding patient financial and medical conversations. Reliable transportation to travel to other facilities to fill in as needed. Job Duties Performs account research with internal and/or external resources via phone and payor websites to determine status of the account with the expected result of obtaining payment of the account. Verifies and/or updates insurance and demographic information for accuracy to resolve barriers in receiving payment of the account. Follows-up with payors and checks claim status as needed throughout the payment process. Appeal denials when needed throughout the payment process and determines when appeals should be sent for further research and/or review. Maintains knowledge of differing payor guidelines to ensure accurate reimbursement by various resources, such as department meetings and updates on payor websites. Identifies trends that may cause or are causing various types of issues on assigned accounts and reports to leader with recommendations for system improvements/edits. Other related duties as required. The above statements describe the general nature and level of work only. They are not an exhaustive list of all required responsibilities, duties, and skills. Other duties may be added, or this description amended at any time. Remains knowledgeable on current federal, state and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area of responsibility and ensures compliance with all such laws, regulations and standards. This employer maintains and complies with its Compliance & Privacy Program and Standards of Conduct, including the immediate reporting of any known or suspected unethical or questionable behaviors or conduct; patient/employee safety, patient privacy, and/or other compliance-related concerns. The employer is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability status. Physical and Environmental Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Light Work - Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly (Constantly: activity or condition exists 2/3 or more of the time) to move objects. Physical demand requirements are in excess of those for Sedentary Work. Even though the weight lifted may be only a negligible amount, a job should be rated Light Work: (1) when it requires walking or standing to a significant degree; or (2) when it requires sitting most of the time but entails pushing and/or pulling of arm or leg controls; and/or (3) when the job requires working at a production rate pace entailing the constant pushing and/or pulling of materials even though the weight of those materials is negligible. NOTE: The constant stress and strain of maintaining a production rate pace, especially in an industrial setting, can be and is physically demanding of a worker even though the amount of force exerted is negligible. Normal routine involves no exposure to blood, body fluid or tissue and as part of their employment, incumbents are not called upon to perform or assist in emergency care or first aid. The incumbent has no occupational risk for exposure to communicable diseases. Because the incumbent works within a healthcare setting, there may be occupational risk for exposure to hazardous medications or hazardous waste within the environment through receipt, transport, storage, preparation, dispensing, administration, cleaning and/or disposal of contaminated waste. The risk level of exposure may increase depending on the essential job duties of the role. Are you ready to make a difference? Apply Today! Ochsner Health does not consider an individual an applicant until they have formally applied to the open position on this careers website. Please refer to the job description to determine whether the position you are interested in is remote or on-site. Individuals who reside in and will work from the following areas are not eligible for remote work position: Colorado, California, Hawaii, Illinois, Maryland, Massachusetts, Minnesota, New Jersey, New York, Vermont, Washington, and Washington D.C. Ochsner Health endeavors to make our site accessible to all users. If you would like to contact us regarding the accessibility of our website, or if you need an accommodation to complete the application process, please contact our HR Employee Solution Center at ************ (select option 1) or ******************* . This contact information is for accommodation requests only and cannot be used to inquire about the status of applications. Ochsner is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to any legally protected class, including protected veterans and individuals with disabilities.
    $25k-28k yearly est. Auto-Apply 5d ago
  • Denials & Follow-up Rep- Benson- Remote

    Ochsner Health 4.5company rating

    New Orleans, LA jobs

    **We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate,** **and innovate. We believe** **that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways.** **At Ochsner, whether you work with patients** **every day** **or support those who do, you are making a difference and that matters. Come make a difference at Ochsner Health and discover your future today!** This job is primarily responsible for resolving all outstanding insurance account receivables. Responsibilities include, but are not limited to, performing collection and billing activities related to account resolution, and communicating with payors (Government and Commercial), clients, reimbursement vendors, and other external resources such as patients. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential duties. This is a summary of the primary duties and responsibilities of the job and position. It is not intended to be a comprehensive or all-inclusive listing of duties and responsibilities. Contents are subject to change at the company's discretion. **Education** Required - High School diploma or equivalent Preferred - Associates Degree or Bachelor Degree **Work Experience** Required - 1 year related experience in related hospital, clinic, medical office, business services/revenue cycle, front line registration, financial counseling, banking and/or customer service related job Preferred - Prior experience working with EPIC system **Knowledge Skills and Abilities (KSAs)** + Must have computer skills and dexterity required for data entry and retrieval of required job information. + Effective verbal and written communication skills and the ability to present information clearly and professionally to varying levels of individuals throughout the patient care process. + Must be proficient with Windows-style applications, keyboard, and various software packages specific to role. + Strong interpersonal skills. + Ability to multi-task. + Ability to perform effectively in a fast paced ever changing environment. + Ability to remain calm and professional in high pressure/stressful situations regarding patient financial and medical conversations. + Reliable transportation to travel to other facilities to fill in as needed. **Job Duties** + Performs account research with internal and/or external resources via phone and payor websites to determine status of the account with the expected result of obtaining payment of the account. + Verifies and/or updates insurance and demographic information for accuracy to resolve barriers in receiving payment of the account. + Follows-up with payors and checks claim status as needed throughout the payment process. + Appeal denials when needed throughout the payment process and determines when appeals should be sent for further research and/or review. + Maintains knowledge of differing payor guidelines to ensure accurate reimbursement by various resources, such as department meetings and updates on payor websites. + Identifies trends that may cause or are causing various types of issues on assigned accounts and reports to leader with recommendations for system improvements/edits. + Other related duties as required. The above statements describe the general nature and level of work only. They are not an exhaustive list of all required responsibilities, duties, and skills. Other duties may be added, or this description amended at any time. Remains knowledgeable on current federal, state and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area of responsibility and ensures compliance with all such laws, regulations and standards. This employer maintains and complies with its Compliance & Privacy Program and Standards of Conduct, including the immediate reporting of any known or suspected unethical or questionable behaviors or conduct; patient/employee safety, patient privacy, and/or other compliance-related concerns. The employer is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability status. **Physical and Environmental Demands** The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Light Work - Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly (Constantly: activity or condition exists 2/3 or more of the time) to move objects. Physical demand requirements are in excess of those for Sedentary Work. Even though the weight lifted may be only a negligible amount, a job should be rated Light Work: (1) when it requires walking or standing to a significant degree; or (2) when it requires sitting most of the time but entails pushing and/or pulling of arm or leg controls; and/or (3) when the job requires working at a production rate pace entailing the constant pushing and/or pulling of materials even though the weight of those materials is negligible. NOTE: The constant stress and strain of maintaining a production rate pace, especially in an industrial setting, can be and is physically demanding of a worker even though the amount of force exerted is negligible. Normal routine involves no exposure to blood, body fluid or tissue and as part of their employment, incumbents are not called upon to perform or assist in emergency care or first aid. The incumbent has no occupational risk for exposure to communicable diseases. Because the incumbent works within a healthcare setting, there may be occupational risk for exposure to hazardous medications or hazardous waste within the environment through receipt, transport, storage, preparation, dispensing, administration, cleaning and/or disposal of contaminated waste. The risk level of exposure may increase depending on the essential job duties of the role. **Are you ready to make a difference? Apply Today!** **_Ochsner Health does not consider an individual an applicant until they have formally applied to the open position on this careers website._** **_Please refer to the job description to determine whether the position you are interested in is remote or on-site._** _Individuals who reside in and will work from the following areas are not eligible for remote work position: Colorado, California, Hawaii, Illinois, Maryland,Massachusetts, Minnesota, New Jersey, New York, Vermont, Washington, and Washington D.C._ **_Ochsner Health endeavors to make our site accessible to all users. If you would like to contact us regarding the accessibility of our website, or if you need an accommodation to complete the application process, please contact our HR Employee Solution Center at ************ (select option 1) or_** **_*******************_** **_. This contact information is for accommodation requests only and cannot be used to inquire about the status of applications._** Ochsner is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to any legally protected class, including protected veterans and individuals with disabilities.
    $25k-28k yearly est. 3d ago
  • Single Billing Office, Customer Service Specialist, FT, Days, - Remote

    Prisma Health 4.6company rating

    Greenville, SC jobs

    Inspire health. Serve with compassion. Be the difference. Performs tasks of moderate to difficult complexity relating to both hospital and physician accounts. Handles a large volume of inbound calls assisting patients with requests for information, complaints, and resolving issues. Responsible for making outbound calls related to self-pay follow-up on accounts. Responsible for data analysis and interpretation throughout all functions of revenue cycle, to determine reasons for denials, non-payment and overpayment, post/balance/correct electronic remittances, billing and follow-up of government payers and specialized accounts, analysis/correction of correct coding guidelines, preparation of accounts for appeal, review/analysis of insurance credit balances, and analysis/movement of unapplied, unidentified, and undistributed balances. Essential Functions * All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health. Serve with compassion. Be the difference. * Resolves billing concerns, addresses inquiries related to insurance concerns/matters, assist patients with MyChart while simultaneously establishing a rapport with our diverse field of patients. Reviews accounts to determine insurance coverage; obtains and corrects any missing or inaccurate information. Discusses patient responsibility, which includes educating patients on claim processing, deductible, coinsurance, and co-pays. Interacts with patients by making patients aware of payment options such as payment plans and financial assistance as well as how to apply for financial assistance if circumstance warrant. Ability to set up payment plans in MyChart based on patient's personal needs. * Greets patients in a professional and courteous manner. Communicates clearly and professionally in both oral and written communication. Be clear and concise in all communication to ensure patients understand the information that is being communicated to them by the Customer Service Specialist. Maintains a high level of poise and professionalism in dealing with patients. Knows when to escalate a patient service issue real time. Research customer requests or issues, determines if further action is needed, forwards to appropriate party for resolution, and exercises good judgement to determine urgency of patient's need. * Contacts payer and makes hard inquiries on account status if needed. Escalates problem accounts to the appropriate area(s). Documents billing activity on a patient's accounts according to departmental guidelines; ensures compliance with all applicable billing regulations and reports any suspected compliance issues to departmental leaders. Properly documents accounts clearly with indicators and activities so that tracking and trending can be prepared for any potential further analysis if needed. * Ensures all work is compliant with privacy, HIPAA, and regulatory requirements. * Participates in general or special assignments and attends all required training. Adheres to policies and procedures as required by Prisma Health and follows all compliant regulatory payer guidance. * Answers all incoming calls from Prisma Health patients * Performs other duties as assigned. Supervisory/Management Responsibilities * This is a non-management job that will report to a supervisor, manager, director, or executive. Minimum Requirements * Education - High School diploma or equivalent OR post-high school diploma / highest degree earned * Experience - Two (2) years billing, bookkeeping, and/or accounting experience In Lieu Of * NA Required Certifications, Registrations, Licenses * NA Knowledge, Skills and Abilities * Knowledgeable of the job functions required for a A/R Follow-up Representative, Cash Posting Representative, Claims Clearinghouse Representative, Correspondence Representative, Credit Processing Specialist, Denial/Appeals Specialist, Payment Research Specialist and a Quality Assurance Specialist. * Knowledgeable of the entire Revenue Cycle and Epic. Work Shift Day (United States of America) Location Patewood Outpt Ctr/Med Offices Facility 7001 Corporate Department 70019935 System Billing Office Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.
    $22k-28k yearly est. 7d ago
  • Single Billing Office, Customer Service Specialist, FT, Days, - Remote

    Prisma Health-Midlands 4.6company rating

    Greenville, SC jobs

    Inspire health. Serve with compassion. Be the difference. Performs tasks of moderate to difficult complexity relating to both hospital and physician accounts. Handles a large volume of inbound calls assisting patients with requests for information, complaints, and resolving issues. Responsible for making outbound calls related to self-pay follow-up on accounts. Responsible for data analysis and interpretation throughout all functions of revenue cycle, to determine reasons for denials, non-payment and overpayment, post/balance/correct electronic remittances, billing and follow-up of government payers and specialized accounts, analysis/correction of correct coding guidelines, preparation of accounts for appeal, review/analysis of insurance credit balances, and analysis/movement of unapplied, unidentified, and undistributed balances. Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health. Serve with compassion. Be the difference. Resolves billing concerns, addresses inquiries related to insurance concerns/matters, assist patients with MyChart while simultaneously establishing a rapport with our diverse field of patients. Reviews accounts to determine insurance coverage; obtains and corrects any missing or inaccurate information. Discusses patient responsibility, which includes educating patients on claim processing, deductible, coinsurance, and co-pays. Interacts with patients by making patients aware of payment options such as payment plans and financial assistance as well as how to apply for financial assistance if circumstance warrant. Ability to set up payment plans in MyChart based on patient's personal needs. Greets patients in a professional and courteous manner. Communicates clearly and professionally in both oral and written communication. Be clear and concise in all communication to ensure patients understand the information that is being communicated to them by the Customer Service Specialist. Maintains a high level of poise and professionalism in dealing with patients. Knows when to escalate a patient service issue real time. Research customer requests or issues, determines if further action is needed, forwards to appropriate party for resolution, and exercises good judgement to determine urgency of patient's need. Contacts payer and makes hard inquiries on account status if needed. Escalates problem accounts to the appropriate area(s). Documents billing activity on a patient's accounts according to departmental guidelines; ensures compliance with all applicable billing regulations and reports any suspected compliance issues to departmental leaders. Properly documents accounts clearly with indicators and activities so that tracking and trending can be prepared for any potential further analysis if needed. Ensures all work is compliant with privacy, HIPAA, and regulatory requirements. Participates in general or special assignments and attends all required training. Adheres to policies and procedures as required by Prisma Health and follows all compliant regulatory payer guidance. Answers all incoming calls from Prisma Health patients Performs other duties as assigned. Supervisory/Management Responsibilities This is a non-management job that will report to a supervisor, manager, director, or executive. Minimum Requirements Education - High School diploma or equivalent OR post-high school diploma / highest degree earned Experience - Two (2) years billing, bookkeeping, and/or accounting experience In Lieu Of NA Required Certifications, Registrations, Licenses NA Knowledge, Skills and Abilities Knowledgeable of the job functions required for a A/R Follow-up Representative, Cash Posting Representative, Claims Clearinghouse Representative, Correspondence Representative, Credit Processing Specialist, Denial/Appeals Specialist, Payment Research Specialist and a Quality Assurance Specialist. Knowledgeable of the entire Revenue Cycle and Epic. Work Shift Day (United States of America) Location Patewood Outpt Ctr/Med Offices Facility 7001 Corporate Department 70019935 System Billing Office Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.
    $22k-28k yearly est. Auto-Apply 9d ago
  • Payment Variance Representative, FT, Days, - Remote

    Prisma Health-Midlands 4.6company rating

    Columbia, SC jobs

    Inspire health. Serve with compassion. Be the difference. Ensures claims are paid appropriately pursuant to negotiated payment rates in Hospital's contractual agreements with all insurance payors. Evaluates and submits payment discrepancy disputes when appropriate. Essential Functions Abides by all applicable policies, procedures, and guidelines of the Prisma Health System. Maintains knowledge of payor contract guidelines and resolves inconsistencies in payor compliance with contract terms, conditions, and rates. Analyzes payor payments and collaborates with other departments to process appeals and resolve appropriate underpayments. This includes application of appropriate contract terms, fee schedules, identification of trends, and reporting trends to management. Research insurance credit balances/adjustments to ensure accuracy of transactions and appropriate disbursement of funds due to insurance payors. Ensures timely follow-up and appropriate action for assigned accounts. Review payor refund requests to resolve reimbursement discrepancies. Initiates appeals or adjustments based on contract interpretation, payor policies and procedures. Meets productivity and quality standards according to departmental policy. Troubleshoots claim pricing in Prisma Health's Information Systems and offers suggestions for improvement. Makes recommendations regarding complexity of claim resolution and the appropriateness of transferring account to collection vendor(s) or other resources for follow-up. Works closely with team members and management to participate and provide comprehensive training regarding appeals processing, process improvement, payor contracting and revenue cycle issues that impact reimbursement. Must adhere to all Prisma Health System Service Values. Performs other duties as assigned. Supervisory/Management Responsibilities This is a non-management job that will report to a supervisor, manager, director or executive. Minimum Requirements Education - High School diploma or equivalent or post-high school diploma / highest degree earned Experience - 5 years - Bookkeeping, invoice/account reconciliation or healthcare revenue cycle/medical office experience required. (Managed care, payor contracting & reimbursement, denials and/or appeals experience preferred.) In Lieu Of Bachelor's degree would substitute for three of the five years of required experience. Required Certifications, Registrations, Licenses Certified Specialist Payment & Reimbursement (CSPR), Certified Revenue Cycle Representative (CRCR) or Certified Revenue Cycle Representative (CRCR) - Preferred Knowledge, Skills, and Abilities Superior written and oral communication skills. Excellent Microsoft Office Skills, including the use of pivot tables and other functions in Excel. Strong critical thinking and analytical skills. Ability to work autonomously. Working knowledge of CPT and DRG coding practices. Ability to evaluate and prioritize workload. Ability to quickly problem solve and identify appropriate issues for escalation to management. Working knowledge of billing requirements for Government and Commercial Payors. Work Shift Day (United States of America) Location 1200 Colonial Life Blvd Facility 7001 Corporate Department 70019012 Patient Financial Services Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.
    $23k-29k yearly est. Auto-Apply 4d ago
  • Access Services Associate I

    Penn Medicine 4.3company rating

    Plumsteadville, PA jobs

    Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines. Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work? Summary: · The Access Services Associate (ASA) is a customer service position supporting Penn Medicine ambulatory practices in a call center environment. This phone based, high volume role supports several patient interactions including registration, appointment scheduling, referrals and pre-authorizations. The position requires superior and compassionate customer service skills with a focus on Productivity to satisfy financial and operational targets of the Health System. This is primarily a work from home position. This position requires the agent to learn and execute several protocols for a limited number of UPHS Departments. Responsibilities: · Strives to understand and anticipate patient needs to improve the patient encounter and overall Penn Medicine experience, manages service recovery efforts when needed, enlisting management assistance as appropriate. · Answer phones supporting Access Center SL goals and follow department protocols to manage patient requests. · Communicate patient need by thoroughly completing encounter documentation, taking detailed notes and route appropriately through the electronic medical record (EMR). · Maintain knowledge of basic Medical terminology, Computer and EMR skills. Accurately communicate and set patient expectations in a clear, empathetic manner to help ensure they arrive for their appointment with all pertinent information and care coordination (medical records, test results, referrals, copays). · Solves telephone issues and timely reports problems related to volume to manager. Follow established downtime procedures for registration. · Maintains up to date knowledge of insurance requirements pertinent to patient service and billing procedures: including basic knowledge of all managed care plans and which insurers require a copayment or referral. Education or Equivalent Experience: · H.S. Diploma/GED (Required). · Associate's or Bachelor's may be considered in lieu of experience. We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives. Live Your Life's Work We are an Equal Opportunity employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law. REQNUMBER: 301588
    $25k-30k yearly est. 32d ago
  • Patient Accounts Representative

    Saint Luke's Health System 4.3company rating

    Trenton, MO jobs

    Manages the accounts receivable following established patient accounts receivable processes and policies for billing following up reimbursement and customer service. Wright Memorial is looking for a Patient Accounts Representative to join their amazing team! Apply today! Full-time Days M - F (8am - 4:30pm) Potential Remote position after training completed Why Saint Luke's? We believe in work/life balance. We are dedicated to innovation and always looking for ways to improve. We believe in creating a collaborative environment where all voices are heard. We are here for you and will support you in achieving your goals #LI-MS3 Job Requirements Applicable Experience: Less than 1 year Job DetailsFull TimeDay (United States of America) The best place to get care. The best place to give care . Saint Luke's 12,000 employees strive toward that vision every day. Our employees are proud to work for the only faith-based, nonprofit, locally owned health system in Kansas City. Joining Saint Luke's means joining a team of exceptional professionals who strive for excellence in patient care. Do the best work of your career within a highly diverse and inclusive workspace where all voices matter. Join the Kansas City region's premiere provider of health services. Equal Opportunity Employer.
    $36k-40k yearly est. Auto-Apply 11d ago
  • Patient Accounts Representative

    Saint Luke's Health System Kansas City 4.3company rating

    Trenton, MO jobs

    Manages the accounts receivable following established patient accounts receivable processes and policies for billing following up reimbursement and customer service. Wright Memorial is looking for a Patient Accounts Representative to join their amazing team! Apply today! * Full-time * Days * M - F (8am - 4:30pm) * Potential Remote position after training completed Why Saint Luke's? * We believe in work/life balance. * We are dedicated to innovation and always looking for ways to improve. * We believe in creating a collaborative environment where all voices are heard. * We are here for you and will support you in achieving your goals #LI-MS3 Job Requirements Applicable Experience: Less than 1 year Job Details Full Time Day (United States of America) The best place to get care. The best place to give care. Saint Luke's 12,000 employees strive toward that vision every day. Our employees are proud to work for the only faith-based, nonprofit, locally owned health system in Kansas City. Joining Saint Luke's means joining a team of exceptional professionals who strive for excellence in patient care. Do the best work of your career within a highly diverse and inclusive workspace where all voices matter. Join the Kansas City region's premiere provider of health services. Equal Opportunity Employer.
    $36k-40k yearly est. Auto-Apply 10d ago
  • Customer Services Trainer/QC

    Sonora Quest 4.5company rating

    Phoenix, AZ jobs

    **Primary City/State:** Phoenix, Arizona **Department Name:** Billing Customer Service **Work Shift:** Day **Job Category:** Revenue Cycle Responsible for all functions within the department including dealing directly with patient inquiries and complaints via correspondence, phone or email. Will provides departmental training to all new staff members. Work special projects that will assist the Customer Service unit in meeting goals and/or will increase customer satisfaction. **CORE FUNCTIONS** 1. Responsible for sorting and recording the daily patient correspondence received into scanning batches. Prepping correspondence batches for scanning. Handling email correspondence directed to billing from the SQL website which includes customer questions, complaints and insurance updates. Documentation of the resolution for incoming email and patient correspondence in the billing system. 2. Responsible for customer service training for new employees and temporary employees both in a classroom setting and on the phones. Responsible for training on new processes and procedures. 3. Effectively research, resolve and respond to complex billing issues accurately and expeditiously that come in via patient correspondence. Assist and mentors less experienced staff with questions as needed. 4. Responsible for phone monitoring of new employees to measure quality standards. Assists with phone monitoring of seasoned CSR when needed. Auditing all new employee correspondence to ensure accurate response is provided to customers. 5. Accurately document call resolution in the billing system form incoming phone calls either from patients or providers to meet service department service levels. Assists any walk in customers for the billing department. 6. Responsible for special projects and assignments. Including all Protected Health Information requests and Medicare Diagnosis changes that come through Customer Service. **KNOWLEDGE, SKILLS AND ABILITIES** + Ability to effectively communicate both verbally and with written communication. **MINIMUM QUALIFICATIONS** + Associate's degree involving business/communication courses or two years' experience as a medical billing customer service representative in a healthcare industry. + Requires excellent verbal , written and organizational skills, the ability to interface with difficult customers and work with minimum direct supervision to meet required goals. **PREFERRED QUALIFICATIONS** + One year training or supervisory duties. + Additional related education and/or experience **EEO Statement:** EEO/Disabled/Veterans (***************************************** Our organization supports a drug-free work environment. **Privacy Policy:** Privacy Policy (********************************************************* 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. EOE/Female/Minority/Disability/Veterans Banner Health supports a drug-free work environment. ****************************************
    $26k-34k yearly est. 60d+ ago
  • Client Services Representative

    Sonora Quest 4.5company rating

    Phoenix, AZ jobs

    **Primary City/State:** Phoenix, Arizona **Department Name:** Client Services-Ref Lab **Work Shift:** Day **Job Category:** Administrative Services **Set schedules and possible work from home opportunity after training completed!** **This position will work at our corporate headquarters in Phoenix** (Washington St and 56th St.; 202 Red Mountain Freeway and 143 Expressway). **$$ Position starts at $19 AND UP** depending on specific experience. **We also offer WEEKEND differential pay and weekly incentives for employees achieving production metrics! $$** Our Client Services Representatives work in a **CALL CENTER** environment and are truly at the center of all laboratory and diagnostics information. Our Representatives are critical to the success of our business and the well-being of our patients. If you like being a "know it all" and are _the boss_ at facilitating the exchange of information, we have a place for you in our Client Services team! Did we mention you won't be selling anything? **So, what does a Client Services Representative do?** + Spends 90% of the time receiving incoming call and making outbound calls. + Professionally interacts with Physicians and their staff, patients, and internal customers over the phone. Knows all the ins and outs of the company and projects confidence when talking with customers. + Uses all resources available to resolve a situation. Delighting the customer is the goal! + Works in a production environment and strives to exceed all metrics in the department. **Who you are:** + Detail oriented and comfortable working in a very fast paced environment. You love working on the phone. + Comfortable sitting and typing during your entire shift. + Able to navigate multiple screens on the computer at once. Multitasking is your middle name. + Comfortable with set structure and following procedures. + A team player who is aware that your work is critical in helping medical providers and hospitals provide excellent patient care. + Loves to learn something new every hour, every day. **Who you are not:** + Someone who is stressed out by calling people on the phone or receiving constant calls. Production call center environment is not your thing. + Overwhelmed by an EXTREMELY fast-paced environment. + Uncomfortable typing information on keyboard for long periods of time. Data entry work is not your thing. + Unfamiliar navigating through different screens on the computer. + Uncomfortable with set schedules and showing up to work on time. **POSITION SUMMARY** This position requires an organized, self-motivated, process driven professional who is an effective communicator with expertise in delivering exceptional client customer service. Using keen insight into people and refined soft skills, this position is able to proficiently handle a high volume of client incoming and outgoing phone calls regarding sensitive HIPAA information. **CORE FUNCTIONS** 1. Effectively communicates both verbally and in writing with internal and external clients regarding laboratory test availability, test results and patient specimen requirements by accessing the company computer, telephoning referral labs and using printed reference material. 2. Uses company resources to resolve service-related issues such as Test-In-Questions (TIQ), trouble alerts, supply orders, missing specimen and special requests - i.e. loans and consults, chain of custody. When necessary, escalates issues to a higher authority. 3. Documents all actions taken as required by CAP, CLIA & HIPAA, and Company policies. Will be required to maintain daily metrics and collated monthly metrics, statistics and quality data while focusing on quality while demonstrating that the patient comes first in everything we do. 4. Participates in self- directed work teams to present thoughts and ideas that support the achievement of department metrics and the Company Roadmap. Completes special projects as assigned. 5. Can be required to arrange pick up, delivery and / or shipment of specimens. 6. Participates in peer-to-peer knowledge transfer and training. **SUPERVISORY RESPONSIBILITIES** **DIRECTLY REPORTING** None **MATRIX OR INDIRECT REPORTING** None **TYPE OF SUPERVISORY RESPONSIBILITIES** None **SCOPE AND COMPLEXITY** Position works independently with limited supervision using independent judgment to achieve the department goals as set by the manager. Responsibilities include involvement in intra-departmental and interdepartmental communications as well as in depth communications with external customers. Has freedom to determine how best to accomplish functions within established business procedures and will be guided by their supervisor or manager. **PHYSICAL DEMANDS/ENVIRONMENT FACTORS** Requires extensive sitting with periodic standing and walking. May be required to lift up to 20 pounds. Requires significant use of personal computer, phone and general office equipment. Needs adequate visual acuity, ability to grasp and handle objects. Ability to communicate effectively. May require off-site travel. **MINIMUM QUALIFICATIONS** + High School Diploma required and a minimum of one year experience in customer service. + Must be able to function independently and requires the ability to multitask and manage multiple situations and tasks at once, synthesize complex data and maintain confidential materials. + Must possess excellent organizational, interpersonal and communication skills. + Experience with MS Office. **PREFERRED QUALIFICATIONS** + Customer service in a laboratory/diagnostic/health care industry preferred. + Additional related education and/or experience preferred. **DATE APPROVED** 11/07/2019 **EEO Statement:** EEO/Disabled/Veterans (***************************************** Our organization supports a drug-free work environment. **Privacy Policy:** Privacy Policy (********************************************************* 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. EOE/Female/Minority/Disability/Veterans Banner Health supports a drug-free work environment. ****************************************
    $23k-31k yearly est. 25d ago
  • Communication Representative

    Banner Health 4.4company rating

    Provider services representative job at Banner Health

    Primary City/State: Phoenix, Arizona Department Name: Call Ctr-CAS-Corp Work Shift: Day Job Category: Marketing and Communications Health care is constantly changing, and at Banner Health, we are at the front of that change. We are leading health care to make the experience the best it can be. We want to change the lives of those in our care - and the people who choose to take on this challenge. If changing health care for the better sounds like something you want to be part of, we want to hear from you. Our Communication team is a small team who work various shifts that run a 24/7operation. In this position you will be responsible for answering calls that come to any of the Banner facilities, these calls can be from patients, patients family members, external vendors, internal teams (security, facility management). In addition you will coordinate and process all codes, emergencies and responses. Successful candidates will have experience in customer service, in person or over the phone, and multi-tasking skills. Previous experience with handled high volume calls as a Switchboard Operator, Front Desk Receptionist or Scheduler in healthcare is highly preferred but not required. Experience working overnights is helpful. Work Location: Banner Health Corp Phoenix (1441 N 12th St) Training Location:Banner Health Corp Mesa (525 W Brown Rd) Shift Details: Fulltime | 40 Hours/Week Shift times available: Hours: 6a-2:30p, rotating working every other weekend 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. POSITION SUMMARY This position coordinates and processes all codes, emergencies and responses for several facilities. Provides quality customer service and accurate information to internal and external customers by efficiently processing and responding to all incoming, outgoing, interdepartmental & inter-facility calls as well as alphanumeric paging, overhead paging and after hours on call requests for several departments within the same facilities. CORE FUNCTIONS 1. Responds to, processes and documents all code arrests, traumas, fire alarms (including troubles, disables and tests), emergencies and disasters following established policies and procedures for several facilities and the organization's central call center using computer based emergency procedures and group pages. Notifies appropriate hospital/facility personnel and coordinates communication with facility-based staff, local fire jurisdictions, alarm monitoring companies and other external constituents as required. 2. Understands and appropriately utilizes all emergency backup equipment and procedures to maintain facility communications in the event of equipment or system failures including evacuation/relocation procedures of department staff and functions. Must understand and be able to assist in setting up emergency communications at each facility in the event of communication failure. Must be able to page codes, notify emergency personnel, process calls and associated functions via phone and hand held microphones using downtime procedures including hard copy code procedures, directories, personnel lists and on call schedules. 3. Accurately and efficiently processes a high volume of incoming, outgoing and interdepartmental calls providing information to callers and responding to caller requests in a professional, confidential and courteous manner. Follows written and computer based procedures to ensure that calls are processed according to individual facility guidelines. 4. Uses the integrated computer/telephone (CTI) workstation to access information for a designated group of facilities, processing calls for patients, facilities, staff, departments, physicians and the community at large. Locates database information quickly and process calls accurately utilizing computer based directories, web based and database on-call schedules, physician/staff rosters, patient databases, organization's intranet, and other available resources. 5. Functions as an answering service for numerous on-call groups/physicians for several facilities by documenting required information from patients, staff and physicians. Contacts designated on-call personnel and relays accurate, time critical information prior to connecting them to the caller in a prompt manner as set forth by each on-call group/physician. Follows detailed instructions established by each group/physician and shows initiative and problem solving skills when having difficulty reaching active on-call staff. Maintains accurate on-call documentation on appropriate log sheet as set forth by each group/physician. 6. Proactively and continuously identifies opportunities to improve processes and enhance database information. Presents findings and recommendations to management. 7. Works closely with all departments, staff and customers at several facilities to ensure efficient operations. Customers include patients, employees, volunteers, departments, physicians, organizational entities, external vendors and the community at large. Performs all functions according to established policies, procedures, regulatory and accreditation requirements, as well as applicable professional standards. Provides all customers of Banner Health with an excellent service experience by consistently demonstrating our core and leader behaviors each and every day. MINIMUM QUALIFICATIONS High school diploma/GED or equivalent working knowledge. Reading, writing and math skills. Must possess good oral and written communication, as well as listening skills to effectively interact pleasantly and calmly with incoming callers. Must possess basis computer skills, including familiarity with computer keyboards. Must be able to effectively prioritize and make sound decisions following established department policies, procedures and standards. Ability to multi-task in a fast paced environment with frequent interruptions. Must be able to learn and apply department procedures to react quickly to emergency situations, as well as process calls within defined standards. Must possess the ability to work cohesively in a team environment. PREFERRED QUALIFICATIONS Previous telephone/customer service experience highly desirable. Additional related education and/or experience preferred. EEO Statement: EEO/Disabled/Veterans Our organization supports a drug-free work environment. Privacy Policy: Privacy Policy
    $30k-34k yearly est. Auto-Apply 2d ago
  • Patient Financial Services Pediatrics

    Banner Health 4.4company rating

    Provider services representative job at Banner Health

    **Primary City/State:** Tucson, Arizona **Department Name:** PPA-Wilmot-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. As the front face of the clinic office, you will greet and provide customer service to patients and families. Perform registration and assist in the check in process assisting with forms, intakes, scheduling, and insurance cards. In this role you will assist with answering phones and taking messages as well as calculate and collect patient payments according to insurance verification and benefits. **Location:** **535 N Wilmot Rd, Ste 101** **Tucson, AZ** **Hours:** **Hours vary between 8:00-5:30** **This is a 40 hour work week, 8 hours per day, Mon-Fri** Banner University Medical Group is our nonprofit faculty practice plan associated with the University of Arizona Colleges of Medicine in Phoenix and Tucson. Our 1,100-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 1,200 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 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 escorting patients, taking vitals and patient history, assisting in patient treatment, distributing mail and fax information, ordering supplies, etc. 9. Works independently under regular supervision 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 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. Employees working at Banner Behavioral Health Hospital, BTMC Behavioral, and BUMG, BUMCT, or BUMCS in a Behavioral Health clinical setting that serves children must possess an Arizona Fingerprint Clearance Card at the time of hire and maintain the card for the duration of their employment. An Arizona Criminal History Affidavit must be signed upon hire. PREFERRED QUALIFICATIONS Work experience with the Company's systems and processes is preferred. Previous cash collections experience is preferred. Additional related education and/or experience preferred **EEO Statement:** EEO/Disabled/Veterans (***************************************** Our organization supports a drug-free work environment. **Privacy Policy:** Privacy Policy (********************************************************* EOE/Female/Minority/Disability/Veterans Banner Health supports a drug-free work environment. Banner Health complies with applicable federal and state laws and does not discriminate based on race, color, national origin, religion, sex, sexual orientation, gender identity or expression, age, or disability
    $30k-34k yearly est. 59d ago
  • Patient Financial Specialist Representative Gastroenterology

    Banner Health 4.4company rating

    Provider services representative job at Banner Health

    Primary City/State: Chandler, Arizona Department Name: East Valley Gastroenterology Work Shift: Day Job Category: Revenue Cycle Banner Health believes leadership matters, and we look for people who share our vision making health care easier, so life can be better. Our leaders are at the front of the health care transformation, planning the future of Banner Health. As a Customer Experience Rep you will be responsible for checking in and out patients, scheduling patients. Collecting monies owed, running eligibility and benefits to determine amounts due. Soft Skills: Characteristics sought based on team culture or work environment expectations. Communication, Teamwork, Problem solving, work ethic, attention to detail, adaptability, interpersonal skills Shift: M-F Mon- Fri 8:30am- 5pm Location: Banner Health Clinic Gastroenterology 1125 S Alma School Rd. Suite 210 At Banner Medical Group, you'll have the opportunity to perform a critical role in the community where you practice. Banner Medical Group provides both primary and specialty care throughout the communities in which Banner Health operates. We do this in a variety of settings - from smaller group practices like our Banner Health Clinics in Colorado and Wyoming, to large multi-specialty Banner Health Centers in the metropolitan Phoenix area. We currently have more than 1,000 physicians and more than 3,500 total employees in our group and are seeking others to enhance our ability to deliver our nonprofit mission of providing excellent patient care. 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 escorting patients, taking vitals and patient history, assisting in patient treatment, distributing mail and fax information, ordering supplies, etc. 9. Works independently under regular supervision 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 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. Employees working at Banner Behavioral Health Hospital, BTMC Behavioral, and BUMG, BUMCT, or BUMCS in a Behavioral Health clinical setting that serves children must possess an Arizona Fingerprint Clearance Card at the time of hire and maintain the card for the duration of their employment. An Arizona Criminal History Affidavit must be signed upon hire. PREFERRED QUALIFICATIONS Work experience with the Company's systems and processes is preferred. Previous cash collections experience is preferred. Additional related education and/or experience preferred EEO Statement: EEO/Disabled/Veterans Our organization supports a drug-free work environment. Privacy Policy: Privacy Policy
    $30k-34k yearly est. Auto-Apply 2d ago
  • Front Office Patient Financial Representative Digestive Health Institute

    Banner Health 4.4company rating

    Provider services representative job at Banner Health

    Primary City/State: Phoenix, Arizona Department Name: Digestive Health 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. We've united under a common goal: Make health care easier, so life can be better. It's a lofty goal, but it's one we're committed to seeing through. 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. Apply now. The Banner - University Medicine Digestive Institute can help manage and treat many digestive complications and illness. Whether it's a second opinion or a life-saving procedure, the specialists at the Digestive Institute's centers and clinics offer seamless collaboration between doctors and whole-scale expertise when it comes to digestive health care in the greater Phoenix and Arizona areas. As a patient financial services representative, you will be responsible for assisting patients through the financial aspects of healthcare by managing billing, insurance, and payment plans. Key duties include verifying insurance, explaining bills, collecting co-payments and outstanding balances, and assisting patients with financial assistance programs. This is a full-time position, scheduled Monday through Friday, day shift, 8:00am - 4:30p). 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 escorting patients, taking vitals and patient history, assisting in patient treatment, distributing mail and fax information, ordering supplies, etc. 9. Works independently under regular supervision 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 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. Employees working at Banner Behavioral Health Hospital, BTMC Behavioral, and BUMG, BUMCT, or BUMCS in a Behavioral Health clinical setting that serves children must possess an Arizona Fingerprint Clearance Card at the time of hire and maintain the card for the duration of their employment. An Arizona Criminal History Affidavit must be signed upon hire. PREFERRED QUALIFICATIONS Work experience with the Company's systems and processes is preferred. Previous cash collections experience is preferred. Additional related education and/or experience preferred. EEO Statement: EEO/Disabled/Veterans Our organization supports a drug-free work environment. Privacy Policy: Privacy Policy
    $30k-34k yearly est. Auto-Apply 4d ago
  • Front Desk Patient Financial Representative Gastroenterology GI

    Banner Health 4.4company rating

    Provider services representative job at Banner Health

    **Primary City/State:** Phoenix, Arizona **Department Name:** Desert Ridge Gastro Clinic **Work Shift:** Day **Job Category:** Revenue Cycle A rewarding career that fits your life. 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, apply today. For 2025, Banner Health was named to Fortune's Most Innovative Companies in America list for the third consecutive year and named to Newsweek's list of Most Trustworthy Companies in America for the second year in a row. We're honored to be recognized for our commitment to the latest health care advancements and excellent patient care. The providers at **Banner Health Center at Desert Ridge** are committed to providing comprehensive care for patients and their family. Our goal is to build lasting relationships with our patients and create personalized care plans with an emphasis on prevention and wellness. Our Desert Ridge location is a diverse product facility and has a diverse product line for patients from birth and beyond in Pediatrics, Internal Medicine and Family Practice. As a **PFS physician practice** on our team, we offer a customer-focused and friendly work environment with career growth opportunities. You'll have customer service skills, excellent communication skills and team player. **Shift Details: Monday- Friday** Monday-Friday 8AM-4:30PM **Gastroenterology Location** : Banner Health Center - 4375 E Irma Lane Phoenix AZ 85050 See the **Benefits Guide under the Total Rewards** section of this posting **,** to learn more about our great benefit package! At Banner Medical Group, you'll have the opportunity to perform a critical role in the community where you practice. Banner Medical Group provides both primary and specialty care throughout the communities in which Banner Health operates. We do this in a variety of settings - from smaller group practices like our Banner Health Clinics in Colorado and Wyoming, to large multi-specialty Banner Health Centers in the metropolitan Phoenix area. We currently have more than 1,000 physicians and more than 3,500 total employees in our group and are seeking others to enhance our ability to deliver our nonprofit mission of providing excellent patient care. Job Description 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 escorting patients, taking vitals and patient history, assisting in patient treatment, distributing mail and fax information, ordering supplies, etc. 9. Works independently under regular supervision 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 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. Employees working at Banner Behavioral Health Hospital, BTMC Behavioral, and BUMG, BUMCT, or BUMCS in a Behavioral Health clinical setting that serves children must possess an Arizona Fingerprint Clearance Card at the time of hire and maintain the card for the duration of their employment. An Arizona Criminal History Affidavit must be signed upon hire. PREFERRED QUALIFICATIONS Work experience with the Company's systems and processes is preferred. Previous cash collections experience is preferred. Additional related education and/or experience preferred **EEO Statement:** EEO/Disabled/Veterans (***************************************** Our organization supports a drug-free work environment. **Privacy Policy:** Privacy Policy (********************************************************* EOE/Female/Minority/Disability/Veterans Banner Health supports a drug-free work environment. Banner Health complies with applicable federal and state laws and does not discriminate based on race, color, national origin, religion, sex, sexual orientation, gender identity or expression, age, or disability
    $30k-34k yearly est. 46d ago
  • Patient Financial Services Pediatrics

    Banner Health 4.4company rating

    Provider services representative job at Banner Health

    Primary City/State: Tucson, Arizona Department Name: PPA-Wilmot-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. As the front face of the clinic office, you will greet and provide customer service to patients and families. Perform registration and assist in the check in process assisting with forms, intakes, scheduling, and insurance cards. In this role you will assist with answering phones and taking messages as well as calculate and collect patient payments according to insurance verification and benefits. Location: 535 N Wilmot Rd, Ste 101 Tucson, AZ Hours: Hours vary between 8:00-5:30 This is a 40 hour work week, 8 hours per day, Mon-Fri Banner University Medical Group is our nonprofit faculty practice plan associated with the University of Arizona Colleges of Medicine in Phoenix and Tucson. Our 1,100-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 1,200 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 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 escorting patients, taking vitals and patient history, assisting in patient treatment, distributing mail and fax information, ordering supplies, etc. 9. Works independently under regular supervision 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 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. Employees working at Banner Behavioral Health Hospital, BTMC Behavioral, and BUMG, BUMCT, or BUMCS in a Behavioral Health clinical setting that serves children must possess an Arizona Fingerprint Clearance Card at the time of hire and maintain the card for the duration of their employment. An Arizona Criminal History Affidavit must be signed upon hire. PREFERRED QUALIFICATIONS Work experience with the Company's systems and processes is preferred. Previous cash collections experience is preferred. Additional related education and/or experience preferred EEO Statement: EEO/Disabled/Veterans Our organization supports a drug-free work environment. Privacy Policy: Privacy Policy
    $30k-34k yearly est. Auto-Apply 10d ago
  • Front Desk Patient Financial Representative

    Banner Health 4.4company rating

    Provider services representative job at Banner Health

    Primary City/State: Phoenix, Arizona Department Name: Admin-Clinic Work Shift: Day Job Category: Revenue Cycle A rewarding career that fits your life. 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, apply today. For 2025, Banner Health was named to Fortune's Most Innovative Companies in America list for the third consecutive year and named to Newsweek's list of Most Trustworthy Companies in America for the second year in a row. We're honored to be recognized for our commitment to the latest health care advancements and excellent patient care. The providers at Banner Health Center at Desert Ridge are committed to providing comprehensive care for patients and their family. Our goal is to build lasting relationships with our patients and create personalized care plans with an emphasis on prevention and wellness. Our Desert Ridge location is a diverse product facility and has a diverse product line for patients from birth and beyond in Pediatrics, Internal Medicine and Family Practice. As a Front Desk Patient Financial Representative (PFS) on our team, we offer a customer-focused and friendly work environment with career growth opportunities. You'll have customer service skills, excellent communication skills and team player. Shift Details: Monday- Friday Monday-Friday 8am-5pm, start and end times can change but will be 8 hours per day Gastroenterology Location: Banner Health Center - 4375 E Irma Lane Phoenix AZ 85050 See the Benefits Guide under the Total Rewards section of this posting, to learn more about our great benefit package! At Banner Medical Group, you'll have the opportunity to perform a critical role in the community where you practice. Banner Medical Group provides both primary and specialty care throughout the communities in which Banner Health operates. We do this in a variety of settings - from smaller group practices like our Banner Health Clinics in Colorado and Wyoming, to large multi-specialty Banner Health Centers in the metropolitan Phoenix area. We currently have more than 1,000 physicians and more than 3,500 total employees in our group and are seeking others to enhance our ability to deliver our nonprofit mission of providing excellent patient care. 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 escorting patients, taking vitals and patient history, assisting in patient treatment, distributing mail and fax information, ordering supplies, etc. 9. Works independently under regular supervision 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 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. Employees working at Banner Behavioral Health Hospital, BTMC Behavioral, and BUMG, BUMCT, or BUMCS in a Behavioral Health clinical setting that serves children must possess an Arizona Fingerprint Clearance Card at the time of hire and maintain the card for the duration of their employment. An Arizona Criminal History Affidavit must be signed upon hire. PREFERRED QUALIFICATIONS Work experience with the Company's systems and processes is preferred. Previous cash collections experience is preferred. Additional related education and/or experience preferred EEO Statement: EEO/Disabled/Veterans Our organization supports a drug-free work environment. Privacy Policy: Privacy Policy
    $30k-34k yearly est. Auto-Apply 2d ago

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