Front Desk Representative Pediatric Urology

bannerhealth; Arizona; On-site; USD 42,000 - 54,000; Full time

Job summary

Banner Health is seeking a PFS role within Banner Children's Specialist Urology in Mesa, AZ. This position coordinates patient flow by answering phones, scheduling, verifying insurance, collecting balances, posting payments, and providing financial guidance to maximize reimbursement.

The role requires strong customer service and organizational skills in a busy clinic environment. Responsibilities include checking in/out patients, preparing charts, communicating with staff and providers, and

Qualifications

• High school diploma or GED required.
• Experience in patient financial services or insurance processes is preferred.
• Strong interpersonal, oral, and written communication skills.
• Knowledge of common office software, word processing, spreadsheets and databases.

Responsibilities

• Register/check-in patients and collect signatures as needed.
• Verify insurance eligibility and obtain pre-certifications or authorizations when required.
• Calculate and collect patient liability and explain financial policies to patients/families.
• Enter payments and charges; reconcile daily transactions and balance cash drawer.
• Schedule visits and procedures; confirm appointments and prepare patients for visits.
• Communicate with care team and patients to optimize patient flow and respond to inquiries.
• Assist with patient records requests and maintain compliance with policies.
• Provide various patient services to help in patient flow, including escorting patients and taking vitals.
• Work independently in a fast-paced environment to ensure timely patient care.

Skills

Interpersonal communication

Customer service

Data entry

Organization

Education

High school diploma/GED

Tools

Microsoft Office

Billing software

Insurance systems

Job description

Primary City/State:

Mesa, Arizona

Department Name:

CCMC Pediatric Urology

Work Shift:

Day

Job Category:

Revenue Cycle

Banner Health believes leadership matters, and we look for people who share our vision making health care easier, so life can be better. Our leaders are at the front of the health care transformation, planning the future of Banner Health.

Banner Health Clinic provides comprehensive multispecialty care for our patients. Under the care of our physicians and experienced support team, each patient can build a long-term relationship and treatment based on their individual needs.

This position is a PFS role with Banner Children's Specialist Urology. You will be responsible for, answering inbound calls, checking-in and checking-out patients, collecting on balances, chart prep, making out bound calls, communicating with other staff members and providers.

Location:

1432 S Dobson Rd Suite 501 Mesa AZ 85202

Shift:

Monday-Friday-7:15am-4:15pm

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

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