Front Office PFS Representative

Banner Health Corporate; Payson (AZ); On-site; USD 36,000 - 46,000; Full time

Job summary

Banner Health is seeking a Front Office/PFS Representative in Payson, AZ. This role serves as the first point of contact, handling patient registration, scheduling, and financial guidance to maximize reimbursement.

You will work with a team of healthcare professionals to ensure a positive patient experience across a fast-paced environment. The position offers a day shift, 40 hours per week, with Monday–Friday and Saturday rotation, and requires strong customer service and communication skills

Qualifications

• Strong customer service and communication skills.
• Ability to perform data entry and use office software.

Responsibilities

• Register/check-in patients and collect required signatures.
• Verify insurance eligibility and obtain pre-certifications and authorizations.
• Explain financial policies and assist with payment options.
• Schedule appointments and coordinate patient flow within the practice.

Skills

Customer service

Phone etiquette

Interpersonal communication

Data entry

Multitasking

Education

High school diploma

Job description

Primary City/State: Payson, Arizona

Department Name: Payson Same Day RHC

Work Shift: Day

Job Category: Revenue Cycle

Find your path in health care. Our team members make Banner Health a Great Place To Work.

Learn how you can join our dedicated team of professionals. As a Front Office/PFS Representative you are the first point of contact as patients and visitors approach the front desk. You'll work collectively with a dedicated group of healthcare professionals to ensure patients have a positive experience. This is a perfect opportunity to apply your great customer service skills and make patients and visitors feel welcomed. A career with our team is a great opportunity if you are just starting out or have many years of experience.

Schedule: 40hrs wk., Primarily Monday - Friday with a Saturday rotation.

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. 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. 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. 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. 4. Enters payments/charges for services rendered and performs daily payment/charge reconciliation in a timely and accurate manner.
5. 5. 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.
6. 6. 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.
7. 7. 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.
8. 8. Assists in responding to requests for patient medical records according to company policies and procedures, and state and federal laws.
9. 9. 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.

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

Banner Health supports a drug-free work environment.

Privacy Policy: Privacy Policy Banner Health is one of the largest, nonprofit health care systems in the country and the leading nonprofit provider of hospital services in all the communities we serve. Throughout our network of hospitals, primary care health centers, research centers, labs, physician practices and more, our skilled and compassionate professionals use the latest technology to make health care easier, so life can be better. The many locations, career opportunities, and benefits offered at Banner Health help to make the Banner Journey unique and fulfilling for every employee. We are proud to offer a comprehensive benefit package for all benefit-eligible positions. Please visit our Benefits Guide for more information.