Patient Access Services Representative

Banner Health; Phoenix (AZ); On-site; USD 50,000 - 70,000; Full time

Job summary

Banner Health, in partnership with Banner MD Anderson, seeks a PAS Financial Specialist to coordinate financial aspects of cancer care. You will verify insurance, obtain authorizations, register patients and provide financial counseling to patients and families across the care continuum.

The role supports the clinical care team to determine financial impact and serves as a primary contact for financial questions, ensuring a seamless patient experience.

Qualifications

• Requires Associate’s Degree with focus in social work, healthcare administration or finance.
• Minimum three years of diversified experience in hospital Patient Registration/Financial Services.

Responsibilities

• Coordinate and communicate all financial aspects of care, including insurance verification and registration.
• Provide financial counseling and discuss insurance and billing options with patients and families.
• Act as liaison between patients, care team and payors to maximize reimbursement and minimize financial impact.
• Verify coverage, obtain authorizations, document information in patient records system.
• Assist with alternate funding options and resources for uninsured patients.

Skills

Insurance verification

Financial counseling

Communication

Collaboration

Education

Associate's Degree

Bachelor's degree in social work/healthcare administration/finance

Job description

Primary City/State: Phoenix, Arizona

Department Name: Registration-Clinic

Work Shift: Day

Job Category: Revenue Cycle

Great options and opportunities. We’re certified as a Great Place To Work® and are looking for professionals to help us make Banner Health the best place to work and receive care.

At Banner MD Anderson, patients experience customized, comprehensive and compassionate cancer care. We travel through the cancer journey with patients, supporting their unique medical and personal needs every step of the way. We believe patient care is most effective when it’s truly collaborative. Our evidence-based, multidisciplinary approach brings together physicians from all cancer specialties to provide highly coordinated and compassionate care.

The PAS Financial Specialist is responsible for providing personalized coordination, clarification and communication of all financial aspects of care continuum, including insurance and authorization verification, registration, financial counseling and claims research for Oncology. This position partners with the clinical care team to determine financial impact for the patient and serves as the primary contact for any financial questions related to a patient’s care across the entire continuum of their treatment, ensuring a seamless experience for the patient and their family. This role requires 3 years of experience working with insurances and payors as well as an Associate's Degree (or relevant experience).

Schedule: Monday - Friday 830 am to 5pm

Location: Banner MDA at Banner University Med Center 925 E McDowell Rd

• All Acute Patient Access Services New Hires are required to attend New Hire Orientation & PAS New Hire and Systems Training.

Acute Patient Access Training is generally the first 2-3 weeks but can vary and runs Monday - Friday standard business hours.

University Medical Center Phoenix is a nationally recognized academic medical center. The world-class hospital is focused on coordinated clinical care, expanded research activities and nurturing future generations of highly trained medical professionals. Our commitment to nursing excellence has enabled us to achieve Magnet™ recognition by the American Nurses Credentialing Center. The Phoenix campus, long known for excellent patient care, has over 730 licensed beds, several unique specialty units and is the new home for medical discoveries, thanks to our collaboration with the University of Arizona College of Medicine - Phoenix. Additionally, the campus responsibilities include fully integrated multi-specialty and sub-specialty clinics.

Position Summary

This position is responsible for providing personalized coordination, clarification and communication of all financial aspects of care continuum, including insurance and authorization verification, registration, financial counseling and claims research for Oncology. This position partners with the clinical care team to determine financial impact for the patient and serves as the primary contact for any financial questions related to a patient’s care across the entire continuum of their treatment, ensuring a seamless experience for the patient and their family.

Core Functions

• Performs pre-registration/registration processes. Partners with the clinical care team to determine initial authorizations needed based on the predicted care treatment plan. Obtains patient insurance benefit information for all aspects of the treatment, including, but not limited to, inpatient and outpatient services, prescription drugs, and travel and housing, if necessary. Assesses need for alternative coverage sources.
• Verifies insurance coverage and obtains authorizations and notifications throughout the patient’s treatment. Obtains all necessary signatures and documentation required by the patient’s insurance plan. Accurately and completely documents all information into the patient records system to ensure maximum reimbursement. Monitors and updates information regarding insurance data, authorizations, preferred providers and changes in patient’s treatment plan. Partners with the clinical care team and insurance provider to ensure continued coverage of patient’s care and maximum reimbursement and minimized financial impact to the patient.
• Provides financial counseling to patients and their families and serves as the primary resource throughout the patient’s treatment. Discusses benefits and other financial issues with patients and/or family members during initial referral and during continuation of care. Advises patients on insurance and billing issues and options. Explains company financial policies and provides information as to available resources and avenues for alternative payment arrangements. Assists patients, families and team members in addressing insurance coverage gaps via alternative funding options.
• Provides financial advocacy, assistance and support to patients and families, as needed. Assists patients who are un-insured to access other funding resources and completes required documents. Maintains current working knowledge of Medicare, Medicaid and other program benefits and criteria, particularly as they pertain to long-term care and low-income patients. May serve as a liaison between the facility and community in making community resources available to the patient and family.
• Acts as a liaison between patient/PFS department/payer to enhance account receivables performance, resolve outstanding issues and/or patient concerns, and to maximize service excellence.
• Calculates patient liability according to verification of insurance benefits, collects deposits and co-payments.
• May provide leadership and training to other members of the financial team and serves as a resource for internal and external customers.
• Works independently under general supervision, leads 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. This position is an integral part of the care team, as they serve as the primary contact for all financial aspects of the patient’s care, both for internal and external customers. Internal customers include all levels of the clinical care team, as well as other administrative support positions throughout the facility and organization. External customers include patients and their families, physician office staff and third-party payors.

Minimum Qualifications

Requires knowledge as typically obtained through an Associate’s Degree, with a focus in social work, healthcare administration or finance.

Requires knowledge of medical terminology and an understanding of all common insurance and payor types, authorization requirements and alternative financial resources as typically obtained through a minimum of three years of diversified experience in a hospital Patient Registration/Financial Services setting. Must have highly developed interpersonal, communications and human relations skills. Must also possess accurate and efficient keyboarding skills, strong organizational and time management skills and flexibility in responding to multiple demands.

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

Bachelor's degree in social work, healthcare administration or finance preferred. Prior experience as a social worker or financial counselor preferred.

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