Patient Financial Service Representative Physician Practice
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.
About the role
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 includes accurately posting patients at the point of service and releasing information in accordance with organizational and compliance policies and guidelines.
Rita Ranch Primary Care is a convenient location at Houghton and Rita Road. The selected candidate will work collectively with a dedicated group of healthcare professionals to ensure patients have a positive experience. The role involves welcoming patients, assisting with check-in/check-out, collecting co-pays/deductibles, completing confirmation calls, processing insurance coverage estimates, scheduling/rescheduling patient visits, and performing data entry with attention to detail. This candidate will also assist with similar tasks for other clinics.
Responsibilities
- Performs registration/check-in processes, including data entry, providing patients with intake forms, obtaining necessary signatures, and generating population health summaries.
- Verifies insurance eligibility benefits for services rendered with payors and documents appropriately.
- Assists in obtaining or validating pre-certification, referrals, and authorizations.
- Calculates and collects patient liability according to verification of insurance benefits and expected reimbursement.
- Explains financial policies and available resources for alternative payment arrangements to patients and their families.
- Enters payments/charges for services rendered and performs daily payment/charge reconciliation accurately and timely.
- Balances cash drawer at the beginning and end of the day and prepares daily bank deposit.
- Schedules office visits and procedures within the medical practice(s) and external practices as necessary, maximizing reimbursement by adhering to payor plan provisions.
- Confirms patient appointments and ensures patients are properly prepared for visits.
- Demonstrates proactive interpersonal communication skills while addressing patient concerns via telephone, email, and in-person conversations.
- Optimizes patient flow by communicating effectively with internal and external customers, care teams, management, centralized services, and HIMS.
- Assists in responding to requests for patient medical records according to company policies and procedures, and state and federal laws.
- Provides various patient services to assist in patient flow, including escorting patients, taking vitals, assisting in treatment, distributing mail/fax information, and ordering supplies.
- Works independently under regular supervision, following structured work routines in a fast-paced, high-volume environment requiring sound judgment and prioritization.
Requirements
- High school diploma/GED or equivalent working knowledge.
- Knowledge of patient financial services, financial collecting services, or insurance industry processes, typically acquired over one or more years of work experience.
- Ability to manage multiple tasks simultaneously with minimal supervision and work independently.
- Strong interpersonal, oral, and written communication skills to interact effectively with a wide range of audiences.
- Proficiency in common office software, including word processing, spreadsheet, and database applications.
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 it 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.
- Previous cash collections experience.
Schedule
Monday - Friday, hours vary from 7:00 AM - 6:00 PM.
Locations
- BUMG Rita Ranch Primary Care: 8290 S Houghton Rd, Suite 150, Tucson, AZ 85747
- BUMG Cortaro Primary Care: 8020 N Cortaro Rd, Ste. 150, Marana, AZ 85743
- BUMG Ina Primary Care: 2945 W Ina Rd, Suite 121, Tucson, AZ 85741
- BUMG Sunrise Primary Care: 6860 E Sunrise Dr, Suite 100, Tucson, AZ 85750
Banner University Medical Group is a 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 mentoring 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.