Patient Financial Services Representative Orthopedics

Location: 1800 N Civic Square, Goodyear, AZ 85395 (some coverage at Peoria Podiatry)

About the role

Step into a rewarding Patient Financial Services role at Banner Medical Group Family Medicine and Pediatrics. As the financial navigator for our patients, you'll manage the complete registration, check-in, and check-out process while providing clear guidance on insurance coverage, referrals, and authorizations. You'll serve as a trusted advisor, helping patients understand their financial responsibility and maximizing reimbursement efforts through expert insurance verification and collections. This role combines essential administrative skills—including appointment scheduling, point-of-service posting, and compliance management—with meaningful patient interaction that directly impacts their healthcare journey.

Responsibilities

• Performs pre-registration/registration processes, verifies eligibility, and obtains authorizations; submits notifications and verifies authorizations for services.
• Verifies patient’s demographics and accurately inputs this information into A/D/T system, including documenting the account thoroughly to maximize reimbursement and minimize denials/penalties from the payor(s).
• Obtains federally/state required information and all consents and documentation required by the patient’s insurance plan(s). Must consistently meet monthly individual accuracy goal as determined by management.
• Verifies and understands insurance benefits; collects patient responsibility based on estimates at the time of service or during the pre-registration process. As assigned, collection attempts may be made at the bedside. Must consistently meet monthly individual collection target as determined by management.
• Provides financial counseling to patients and their families. Explains company financial policies and provides information as to available resources. Assists patients with applying for Medicaid and completing all financial assistance programs (e.g., basic financial assistance, enhanced financial assistance, prompt pay discount, loan program).
• Acts as a liaison between the patient, the billing department, vendors, physician offices, and the payor to enhance account receivables performance, meet payment collection goals, resolve outstanding issues and/or patient concerns, and maximize service excellence.
• Communicates with physicians, clinical and hospital staff, nursing, and Health Information Management Services to resolve outstanding issues and/or patient concerns. Works to meet the patient’s needs in financial services.
• Consistently meets monthly individual productivity goal as determined by management. Completes daily assignments/work lists, keeps electronic productivity log up to date, and inputs information accurately.
• Identifies opportunities to improve processes and practices good teamwork.
• Provides a variety of patient services and financial services tasks. May be assigned functions such as transporting patients, precepting new hire employees, recapping daily deposits, posting daily deposits, or conducting other work assignments of the Patient Financial Services team.
• Works independently under regular supervision and follows structured work routines 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.
• Requires the ability to retain large amounts of changing payor information/knowledge crucial to attaining reimbursement for the services provided.

Requirements

• High school diploma/GED or equivalent working knowledge.
• Knowledge of patient financial services, financial, collecting services, or insurance industry processes normally acquired over one or more years of work experience.
• Ability to manage multiple tasks simultaneously with minimal supervision and to work independently.
• 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.

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.
• Previous cash collections experience.

Schedule

Monday–Friday, 8:00 AM–5:00 PM