PFS Representative DME Collections

Banner Health; Phoenix (AZ); Remote; USD 25,000 - 37,000; Full time

Benefits offered by this job

Remote work option

Job summary

Banner Health is seeking a Patient Financial Services Representative to support the REMOTE billing and collections workflow within Revenue Cycle. You will coordinate payments, denials, and payor communications to ensure timely reimbursement and a positive patient experience.

Ideal candidates have about 1 year in patient financial services focusing on collections and accounts receivable in healthcare, with familiarity in DME and Payor systems such as Waystar.

Qualifications

• 1 year of Patient Financial Services – Collections and Accounts Receivable experience in healthcare Revenue Cycle.
• Experience with Durable Medical Equipment (DME) and/or Waystar preferred.
• Remote position available for select states.

Responsibilities

• Coordinate and process payments, adjustments, claims, refunds, denials, and charity applications with accuracy.
• Reconcile, balance, pursue account balances/payments/denials with payors and contracts.
• Research payments/denials and correct discrepancies; file appeals as needed.
• Build relationships with internal units and providers; educate and resolve payment issues.
• Respond to calls and inquiries to resolve billing and accounting issues for patients and families.
• Work as part of Patient Financial Services to reduce Accounts Receivable days and balances.
• Document using systems and provide data to payors; communicate clearly.
• Work independently under supervision with defined standards and procedures.

Skills

Collections

Accounts Receivable

Revenue Cycle

Customer service

Communication

Tools

Waystar

Job description

Department Name:
PFS HME & HIT

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.

The Patient Financial Services Representatives are a crucial part of revenue cycle involving reducing AR and improving patient experience firsthand, post care. This involves researching and holding payers accountable to pay the expected rates according to the contracts in place with Banner Health within the allowed timeframes. This role provides an immediate sense of accomplishment when resolving outstanding issues with these insurance payers and allows growth throughout the collections/Accounts receivable area of expertise.

Schedule: Monday-Friday, Full time. Flexible schedule after successful completion of Training.

Location: REMOTE, Banner provides equipment

Ideal candidate

• 1 year experience Patient Financial Services – Collections and Accounts Receivable experience in healthcare Revenue Cycle experience (clearly reflected in attached resume);

• Ideal candidate will have experience with Durable Medical Equipment (DME) and/or Waystar.

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

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.

EEO Statement:

EEO/Disabled/Veterans

Our organization supports a drug-free work environment.