PFS Representative CBO AR Denial Follow Up

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

Job summary

Banner Health is seeking a Patient Financial Services Representative CBO to support billing and collection activities in a primarily remote-capable role. The position involves verifying eligibility, resolving denials, and ensuring timely reimbursement across payer portals and communications with patients and providers.

The role requires experience in A/R healthcare, strong communication skills, and the ability to work Monday through Friday 8:30am–5pm AZ time, with some flexibility after

Qualifications

• High school diploma or equivalent.
• Experience in patient financial services or insurance processes preferred.
• Strong interpersonal, oral, and written communication skills.

Responsibilities

• Process payments, adjustments, claims, denials, and payment plans accurately and timely.
• Reconcile balances and pursue denials and balances with payors and internal staff.
• Research payments and denials to identify short/over payments and correct errors.
• Build relationships with hospital departments and providers to ensure timely reimbursement.
• Respond to inquiries from patients and internal/external customers with high-quality service.

Skills

Interpersonal communication

Oral communication

Written communication

Education

High School Diploma or GED

Tools

Microsoft Office

Job description

Department Name: Amb Billing & Follow Up

Work Shift: Day

Job Category: Revenue Cycle

A rewarding career that fits your life. As an employer of the future, we are proud to offer our team members many career and lifestyle choices including remote work options. If you’re looking to leverage your abilities – you belong at Banner Health.

The Patient Financial Services Representative CBO will be responsible for checking status on claims via payer portal, phone calls or emails depending on payer, taking necessary actions to resolve denials and ensure payment. Actions may include, but are not limited to, verifying eligibility, verifying credentialing of providers, sending to coding for changes, providing medical records for proof of medical necessity, etc. Will be identifying trends and issues with payers and other duties as needed to help with account receivables and denial resolution.

Systems frequently used: Cerner, Nextgen, FinThrive, MS4, Insurance portals

Desired Experience: A/R Healthcare

Monday - Friday 8:30am - 5pm AZ Time (some flexibility after training)

This can be a remote position if you live in the following states only: AK, AZ, AR, CA, CO, GA, FL, IA, ID, IN, KS, KY, LA, MD, MI, MO, MN, MS, NH, NM, NY, NC, ND, NE, NV, OH, OK, OR, PA, SC, TN, TX, UT, VA, WI, WV, WA, & WY

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 / hour

Banner 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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