POSITION SUMMARY
This position is the first point of contact at healthcare facilities and assists patients with the administrative aspect of gaining access to medical treatment.
This position is in a hospital-based setting which includes Emergency Dept, Inpatient, Obstetrics, Outpatient, etc. Responsible for in person patient intake and registration, providing superior customer service, accurately identifying, and obtaining authorizations patients’ insurance, verifying eligibility and benefits, generating patient estimates for services rendered, financial counseling, and collecting patient liability.
Demonstrates the ability to resolve customer issues and provides excellent customer service.
CORE FUNCTIONS
1. Verifies patient’s demographics and accurately inputs this information into EHR, including documenting the account thoroughly to maximize reimbursement and minimize denials / penalties from the payor(s).
2. Proficiency with multiple services including, but not limited to inpatient, observation, emergency, obstetrics, surgery, imaging.
This position may cover services 24 / 7.
3. Demonstrates a thorough understanding of insurance guidelines for all services. Proficiently verifies, reads, and understands insurance benefits.
4. Demonstrates proficient understanding that this position creates the first impression for our patient's experience with Banner Health.
Demonstrates a positive patient experience through interactions and effective communication.
5. Proficient understanding of payer authorization guidelines. Accurately submits timely notification according to insurance guidelines using various systems to reduce / eliminate denials.
Consistently meets all registration related key performance indicators as determined by management.
6. Obtains federal / state compliance information, consents and documentation required by the patient’s insurance plan(s).
This includes a thorough understanding of accurately completing hospital-based compliance forms required by CMS. Uses multiple computer applications proficiently.
7. Consistently discusses financial liability with the patient(s) and / or families that includes : collection in full of patient liability, assisting patient in applying for Banner Line of Credit, setting up payment plans and / or assisting patient with Banner Financial Assistance policy / application.
8. Provides a variety of patient services and financial services tasks. May be assigned functions such as transporting patients, training new hire employees, recapping daily deposits, posting daily deposits, or conducting other work assignments of the Patient Access Services team.
9. Works independently under regular supervision and follows structured work routines. Works in a high-volume, fast paced, clinical environment which requires to ability to be adaptable, critical thinking, and independent decision making and to prioritize work and ensure appropriateness and timeliness of each patient’s care.
Primary external customers include patients and their families, physician office staff and third-party payors.
MINIMUM QUALIFICATIONS
High school diploma / GED is required.
Must have customer service skills or 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 both independently and collaboratively in a team environment.
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, database software, and typing ability are required.
Employees working at Banner Behavioral Health Hospital or the Whole Health Clinic must possess an Arizona Fingerprint Clearance Card at the time of hire and maintain the card for the duration of their employment.
Employees working at Banner MD Anderson on the Banner University Medical Center Phoenix campus must possess a State of Arizona Department of Public Safety Level One Fingerprint Clearance Card at the time of hire and maintain the card for the duration of their employment.
This is a requirement of the Whole Family Counseling Program held at this specific facility.
PREFERRED QUALIFICATIONS
Associate’s degree in Business Management is preferred.
CHAA certification is preferred.
Previous patient access and / or cash collections experience is preferred. Work experience with the Company’s systems and processes is preferred.
Additional related education and / or experience preferred.
EOE / Female / Minority / Disability / Veterans
Our organization supports a drug-free work environment.
Privacy Policy
Patient Access Representative
A company is looking for a Patient Access Representative. ...
Acute Patient Access Services Representative ER
Responsible for in person patient intake and registration, providing superior customer service, accurately identifying, and obtaining authorizations patients’ insurance, verifying eligibility and benefits, generating patient estimates for services rendered, financial counseling, and collecting patie...
Patient Services Representative
Register patients to include, obtaining prior authorization, verify insurance eligibility and benefits, scanning patient ID and insurance card, taking patients pictures in EMR, confirming patient demographics and paperwork for accuracy and completion. Interact with patients, family members, visitors...
Patient Access Representative - Chandler, AZ
Emergency Department setting; performs a variety of clerical and administrative duties related to the delivery of patient care, including greeting and checking in patients, answering phones, collecting patient co-pays and insurance payments, processing paperwork, and performing other front office du...
Patient Access Representative Surgery Scheduler
The Patient Access Representative is the first face our patients see as the enter our clinics. With customer service being at the forefront of this role, the Patient Access Representative collects information for registration of new and incoming patients. With 100+ locations and over 400 OB/GYNs and...
BSS Patient Financial Services Representative
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. This position coordinates a smooth patient flow process ...
Bilingual Patient Access Representative
The Patient Access Representative is primarily responsible for collecting information for registration of new and incoming patients. Obtain and confirm patient demographics and update patient profile. Today, our organization has grown to over 100 locations in numerous states by remaining true to its...
Patient Services Representative
As our highly visible Patient Services Representative/Surgery Front Office Receptionist, you'll be our first impression, greeting each patient personally and gathering important information for their visit. Your initiative and organizational skills will keep us running at top performance, while your...
Patient Access Representative
The Patient Access Representative is the first face our patients see as the enter our clinics. With customer service being at the forefront of this role, the Patient Access Representative collects information for registration of new and incoming patients. With 100+ locations and over 400 OB/GYNs and...
Accounts Receivable Patient Financial Services Representative CBO
Internal customers include facility medical records and patient financial services staff, attorneys, and central services staff members. Requires knowledge of patient financial services, financial, collecting services or insurance industry experience processes normally acquired over one or more year...