PFS Rep CBO Billing Follow-up Denials Imaging

bannerhealth; Arizona; Remote; USD 25,000 - 37,000; Full time

Job summary

Banner Health seeks a PFS Representative in Ambulatory Imaging to coordinate patient billing and collections across assigned areas. This full-time, remote role supports debugging denials, posting payments, and payor follow-up while meeting speed and accuracy targets.

You'll work with insurers to obtain payments per contracts, leverage EOB knowledge, and deliver excellent customer service to patients and providers. Training is provided; AZ hours apply during ramp-up.

Qualifications

• Must have patient financial services or insurance industry experience.
• Experience with EOBs and medical claims processing.
• Strong interpersonal and written communication skills.

Responsibilities

• Process payments, adjustments, claims, denials, and payment plans accurately.
• Balance accounts and pursue payor remits and denials to maximize reimbursement.
• Research payments and denials; make appeals and corrections as needed.
• Build relationships with hospital departments and internal/external customers.
• Respond to calls to resolve billing and accounting issues; provide excellent service.
• Work to reduce Accounts Receivable and improve days/dollars metrics.
• Document data in systems and communicate with payors accurately.
• Work independently under supervision and follow defined standards.

Skills

Patient financial services

Medical claims

EOB analysis

Denials management

Communication skills

Education

High school diploma

Job description

Department Name

Rev Cycle Ambulatory Imaging

Work Shift

Day

Job Category

Revenue Cycle

Innovation and highly trained staff. Banner Health recently earned Great Place To Work® Certification™. This recognition reflects our investment in workplace excellence and the happiness, satisfaction, wellbeing and fulfilment of our team members. Find out how we’re constantly improving to make Banner Health the best place to work and receive care.

Our PFS Representatives are a crucial part of revenue cycle involving reducing AR and improving patient experience firsthand, post-care. As a member of the PFS Rep CBO, Billing Follow-up Denials, Imaging team, you will work with the Insurance companies on behalf of the patient to assist with obtaining payments for our Banner Imaging teams. In this role, you’ll bring your experience with EOBs and medical claims experience to research and hold payers accountable to pay the expected rates according to the contracts in place with Banner Health, within the allowed timeframes. Experience with different payers is a plus, along with knowledge for various denials, such as no authorization, eligibility denials, etc. In this role you will expand your knowledge in appeals, follow up on denials, sending medical records, eligibility, follow up no response on accounts, verifying Authorization, and negotiating with insurance and payers.

Schedule

Full time, Monday-Friday. Training is 8am-5pm AZ time. Flexible scheduling after training is complete.

Location

REMOTE, Banner provides equipment

Ideal candidate

• 1 year patient financial services (Central Billing) or medical claims experience (clearly reflected in attached resume);
• Experience with submitting appeals and understanding of EOB;
• General knowledge of codes used for claim processing.

This can be a remote position if you live in the following state(s) only: AL, AK, AR, AZ, CA, CO, FL, GA, IA, ID, IN, KS, KY, LA, MD, MI, MN, MO, MS, NC, ND, NE, NH, NY, NM, NV, OH, OK, OR, PA, SC, TN, TX, UT, VA, WA, WI, WV, WY. Please note, training will 8am-5pm AZ time, and after training scheduling will be between 6am-6pm AZ time.

Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care.

POSITION SUMMARY

This position coordinates and facilitates patient billing and collection activities in one or more assigned areas of billing, payment posting, collections, payor claims research, and other accounts receivable work. Works as a member of a team to ensure reimbursement for services in a timely and accurate manner.

CORE FUNCTIONS

1. May be assigned to process payments, adjustments, claims, correspondence, refunds, denials, financial/charity applications, and/or payment plans in an accurate and timely manner, meeting goals in work quality and productivity. Coordinates with other staff members and physician office staff as necessary ensure correct processing.
2. As assigned, reconciles, balances and pursues account balances and payments, and/or denials, working with payor remits, facility contracts, payor customer service, provider representatives, spreadsheets and the company’s collection/self-pay policies to ensure maximum reimbursement.
3. May be assigned to research payments, denials and/or accounts to determine short/over payments, contract discrepancies, incorrect financial classes, internal/external errors. Makes appeals and corrections as necessary.
4. Builds strong working relationships with assigned business units, hospital departments or provider offices. Identifies trends in payment issues and communicates with internal and external customers as appropriate to educate and correct problems. Provides assistance and excellent customer service to these internal clients.
5. Responds to incoming calls and makes outbound calls as required to resolve billing, payment and accounting issues. Provides assistance and excellent customer service to patients, patient families, providers, and other internal and external customers.
6. Works as a member of the patient financial services team to achieve goals in days and dollars of outstanding accounts. Reduces Accounts Receivable balances.
7. Uses systems to document and to provide statistical data, prepare issues list(s) and to communicate with payors accurately.
8. Works independently under general supervision, following defined standards and procedures. Reports to a Supervisor or Manger. Uses critical thinking skills to solve problems and reconcile accounts in a timely manner. External customers include all hospital patients, patient families and all third party payers. Internal customers include facility medical records and patient financial services staff, attorneys, and central services staff members.

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.

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.

Estimated Pay Range

$18.02 - $27.03 / hourBanner Health is committed to pay equity and transparency. The posted compensation range is a reasonable estimate that extends from the lowest to the highest pay Banner Health in good faith believes it might pay for this particular job, based on the circumstances at the time of posting.This range is based on possible base salaries and does not include the value of our total rewards package. Actual pay determined at offer will be based on years of relevant work experience, education, certifications, skills, and geographic location, along with a review of current employees in similar roles to ensure pay equity is achieved and maintained.

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