Per Diem Acute Patient Access Services Representative

Core Functions

• 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).
• Proficiency with multiple services including, but not limited to inpatient, observation, emergency, obstetrics, surgery, imaging.
• This position may cover services 24/7.
• Demonstrates a thorough understanding of insurance guidelines for all services.
• Accurately verifies, reads, and understands insurance benefits.
• 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.
• 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.
• 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.
• 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.
• Provides a variety of patient services and financial services tasks.

Minimum Qualifications

• A 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.

Preferred Qualifications

• An associate’s degree is preferred.
• CRCR (Certified Revenue Cycle Representative) certification, a credential offered by the Healthcare Financial Management Association (HFMA)
• CHAA (Certified Healthcare Access Associate) certification, a credential offered by the National Association of Healthcare Access Management (NAHAM)
• Knowledge of medical terminology or healthcare systems.