Front Office Representative Primary Care

bannerhealth; Mesa (AZ); On-site; USD 42,000 - 64,000; Full time

Job summary

Banner Health Center East Mesa is hiring a Front Office Rep to coordinate patient flow, handle registrations, verify insurance, and assist with scheduling in a busy clinic setting.

Join a team focused on delivering excellent patient experiences while navigating insurance processes and patient financial interactions in a high-volume environment.

Qualifications

• Handles patient registration and check-in processes.
• Verifies insurance eligibility and documents pre-certifications.
• Collects patient liabilities and explains payment options.
• Enters payments and reconciles daily charges, balances cash drawer.
• Schedules office visits and procedures, maximizing payor compliant reimbursement.

Responsibilities

• Performs registration/check-in with data entry and intake forms.
• Verifies insurance benefits and obtains pre-certifications.
• Calculates and collects patient liability; explains policies.
• Enters payments/charges and balances daily reconciliations.
• Schedules visits and procedures per payor rules.
• Assists with patient communications via phone, email, or in person.
• Responds to requests for medical records per policy and law.
• Provides patient services to support flow, like escorting and vitals.

Job description

Job Title

Front Office Rep

Location & Schedule

Primary City/State: Mesa, Arizona
Department Name: Admin-Clinic
Work Shift: Day
Job Category: Revenue Cycle
Location: Banner Health Center East Mesa
1917 S Crismon Road
Mesa, AZ 85209
Hours will vary between Monday-Friday 7a-7p and 8-1 Saturdays

Position Overview

Health care is changing, and it's our goal to create a new model to answer America's health care challenges today and in the future. Our passionate and talented teams will be the change on the health care landscape in our communities - big and small. If taking access and delivery from complex to easy, from costly to affordable and from unpredictable to reliable sounds interesting to you, we want to hear from you.

Bring your desire to learn and grow with us to our ever-growing clinic, where you'll be working side by side with medical staff to create a great patient experience. As a Front Office Rep on our team, we offer a customer-focused and friendly work environment with career growth opportunities. A career with our team is great if you are just starting out or have many years of experience.

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 independ