Front Desk Representative Pediatric Surgery

Banner Health; Mesa (AZ); On-site; USD 32,000 - 46,000; Full time

Job summary

Banner Health in Mesa, AZ is seeking a Customer Experience Representative to support patient flow in the CCMC Pediatric General Surg department. You will check in/out patients, collect payments, verify insurance, and provide financial guidance to maximize reimbursement.

Schedule is Monday through Friday, 8:30 am to 5:00 pm. You will handle registrations, signings, referrals, and communicate with patients, care teams, and payors to ensure accurate billing and efficient service.

Qualifications

• High school diploma or GED or equivalent.
• Knowledge of patient financial services or insurance processes.
• Strong interpersonal, oral, and written communication.
• Ability to multitask with minimal supervision.

Responsibilities

• Registers patients and handles check-in/check-out with data entry.
• Verifies insurance eligibility and pre-certifications/authorizations.
• Collects patient liability and explains financial policies to patients.
• Posts payments and reconciles daily, balances cash drawer.
• Schedules visits and ensures patient preparedness per payor rules.
• Communicates with patients and care teams to resolve concerns.
• Responds to requests for medical records per policy.
• Supports patient flow with escorting, vitals and other assistance as needed.
• Works independently in a fast-paced environment with changing payor information.

Skills

Communication

Teamwork

Problem solving

Attention to detail

Interpersonal skills

Adaptability

Customer service

Education

High school diploma/GED

Job description

Primary City/State:

Mesa, Arizona

Department Name:

CCMC Pediatric General Surg

Work Shift:

Day

Job Category:

Revenue Cycle

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

Schedule: Monday-Friday 8:30am-5:00pm

Location: Banner Health Pediatric Surgery- 1432 S. Dobson Rd. Suite 301 Mesa, AZ 85202

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 (https://www.bannerhealth.com/careers/eeo)

Our organization supports a drug-free work environment.

Privacy Policy:

Privacy Policy (https://www.bannerhealth.com/about/legal-notices/privacy)

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