Front Office Representative

bannerhealth; Gilbert (AZ); On-site; USD 36,000 - 48,000; Full time

Job summary

Banner Health in Gilbert, AZ is seeking a Front Office/Customer Experience Representative. You will be the first point of contact for patients and visitors, handling registration, scheduling, and insurance verification while delivering a welcoming, customer-focused experience.

In this role you will collect patient liabilities, provide financial guidance, post payments, and support the care team to ensure smooth patient flow.

Qualifications

• Front desk registration and check-in responsibilities.
• Verifies insurance eligibility and obtains authorizations.
• Collects patient liabilities and explains payment options.
• Schedules appointments and manages patient flow.

Responsibilities

• Register and check in patients with accurate data entry.
• Verify insurance eligibility and obtain pre-certifications or authorizations.
• Explain financial policies and collect patient liabilities; offer payment options.
• Schedule appointments and coordinate referrals to optimize patient flow.

Skills

Customer service

Phone etiquette

Data entry

Interpersonal communication

Job description

Primary City/State: Gilbert, Arizona

Department Name: C/P-BGMC Ortho-Clinic

Work Shift: Day

Job Category: Revenue Cycle

Great careers are built at Banner Health. We understand that talented health care professionals appreciate having options. We are proud to offer our team members many career and lifestyle choices throughout our network of facilities.

As a Front Office/Customer Experience 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.

Location: Banner Gateway Orthopedic Clinic 1920 N Higley Rd Suite 206 Gilbert, AZ 85234

Schedule: Monday- Friday between the hours of 730AM to 530PM

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 pat