Patient Financial Services Representative Orthopedics

Banner Health; Glendale (AZ); On-site; USD 25,000 - 34,000; Full time

Job summary

Banner Health in Glendale, AZ is hiring a Patient Financial Services Representative for Orthopedics. You will handle patient registration, verify insurance, obtain authorizations, process payments, and guide patients on financial options in a busy clinic setting.

The role supports scheduling, patient communications, and coordination with care teams to maximize reimbursement while ensuring compliant processes. Monday–Friday schedule in a clinic environment.

Qualifications

• Requires high school diploma or GED with knowledge of patient financial services and insurance processes.
• Experience in financial, collecting services or insurance workflows is preferred.
• Strong interpersonal, oral and written communication skills are essential.

Responsibilities

• Registers/checks in patients and collects data as required.
• Verifies insurance benefits and eligibility for services rendered.
• Obtains pre-certifications, referrals and authorizations as needed.
• Calculates and collects patient liability; explains financial policies.
• Enters payments and charges; performs daily reconciliation and cash handling.
• Schedules patient visits and procedures; communicates payor requirements.
• Assists with patient questions via phone, email, or in person.
• Responds to requests for medical records per policy and laws.
• Supports patient flow with various clerical tasks and teamwork.

Skills

Interpersonal communication

Multitasking

Data entry / documentation

Education

High school diploma or GED

Tools

Office software (Word, Excel, databases)

Job description

Primary City/State:Glendale, ArizonaDepartment Name:C/P-North Central OrthopedicsWork Shift:DayJob Category:Revenue CycleA rewarding career that fits your life. Those who have joined the Banner mission come from all walks of life, united by the common goal: Make health care easier, so life can be better. If changing health care for the better sounds like something you want to be part of, apply today.As a Patient Financial Services Representative-Orthopedics A rewarding career that fits your life. Those who have joined the Banner mission come from all walks of life, united by the common goal: Make health care easier, so life can be better. If changing health care for the better sounds like something you want to be part of, apply today.We offer a customer-focused and friendly work environment with career growth opportunities to work in a busy clinic. A career with our team is great if you are just starting out or have many years of experience. If you are ready to be challenged, work in a positive environment and contribute to making a change in people's lives, then we are the perfect team for you.Location: 5601 W Eugie, Glendale AZ 85306Schedule: Monday – Friday 8:15am-4:45pmAt 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 SUMMARYThis 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 FUNCTIONS1. 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 authorizations3. 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 QUALIFICATIONSHigh 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 QUALIFICATIONSWork experience with the Company’s systems and processes is preferred. Previous cash collections experience is preferred.Additional related education and/or experience preferredEEO Statement:EEO/Disabled/VeteransOur organization supports a drug-free work environment.Privacy Policy:Privacy Policy