PFS Representative DME Collections

Banner Health Corporate; Yuma (AZ); Hybrid; USD 25,000 - 38,000; Full time

Job summary

Banner Health is seeking a Patient Financial Services Representative to coordinate patient billing and collections within the Revenue Cycle. The role supports payor research, posting payments, denials, and patient accounts in one or more areas across billing and AR.

Candidates should have 1+ year experience in patient financial services and familiarity with DME or payor contracts; remote work is available for residents in listed states. Training offered and full-time schedule Monday–Friday.

Qualifications

• Requires one or more years of patient financial services, financial, collecting services or insurance industry experience.
• Ability to manage multiple tasks simultaneously with minimal supervision and to work independently.
• Strong interpersonal, oral, and written communication skills.

Responsibilities

• Process payments, adjustments, claims, correspondence, refunds, denials, financial/charity applications, and/or payment plans accurately and timely.
• Reconcile balances and pursue payments with payors, contracts, and payor customer service to maximize reimbursement.
• Research payments, denials and accounts to correct short/over payments and contract discrepancies.
• Build relationships with assigned departments or provider offices and educate and correct problems.
• Respond to incoming calls and make outbound calls to resolve billing and accounting issues.
• Reduce Accounts Receivable balances as part of the patient financial services team.

Skills

Interpersonal communication

Oral communication

Written communication

Education

High school diploma/GED

Tools

MS Office

Excel

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

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, providers, and other internal and external customers. 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: $18.38 - $27.56 / 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.

Banner Health is one of the largest, nonprofit health care systems in the country and the leading nonprofit provider of hospital services in all the communities we serve. Throughout our network of hospitals, primary care health centers, research centers, labs, physician practices and more, our skilled and compassionate professionals use the latest technology to make health care easier, so life can be better.

We are proud to offer a comprehensive benefit package for all benefit-eligible positions.