Senior PFS Representative CBO

Banner Health; Hyde Park Township (IL); Remote; USD 60,000 - 80,000; Full time

Job summary

An established industry player is seeking a Senior Patient Financial Services Representative to join their dynamic team. This remote role focuses on enhancing the patient experience by managing billing and collections, working closely with insurance companies to secure timely payments. You will lead a dedicated team, providing training and support while driving process improvements. The position offers opportunities for professional growth in the revenue cycle domain, allowing you to make a significant impact on the organization's financial health. If you have a passion for patient care and financial services, this role is perfect for you.

Qualifications

• 2+ years of experience in patient financial services or insurance.
• Knowledge of medical terminology and strong communication skills.

Responsibilities

• Lead and support the Patient Financial Services team.
• Process payments, claims, and reconcile accounts accurately.
• Research and resolve payment issues, ensuring timely reimbursements.

Skills

Patient Financial Services

Insurance Processes

Communication Skills

Data Analysis

Education

High School Diploma or GED

Tools

Microsoft Office

Banner Systems (MS4, CERNER)

Finthrive Collections

nthrive Claims

Job description

Senior PFS Representative CBO

Apply remote type: Remote

Locations: Remote (Arizona only)

Time type: Full time

Posted on: Posted 2 Days Ago

Job Requisition ID: R4404929

Department:

Acute Billing & Follow Up-Corp

Work Shift:

Day

Job Category:

Revenue Cycle

Estimated Pay Range:

$19.06 - $28.60 / hour, based on location, education, & experience.

In accordance with State Pay Transparency Rules.

About the Role:

The Senior Patient Financial Services Representatives are integral to the revenue cycle, focusing on reducing accounts receivable and enhancing patient experience post-care. They work with insurance companies to secure payments for hospital bills, researching and holding payers accountable within contractual and timely frameworks. This role offers a sense of accomplishment in resolving insurance issues and opportunities for growth in collections and accounts receivable expertise.

Systems Used:

Microsoft Office, Edge, Banner Systems (MS4, CERNER), Finthrive collections, nthrive claims

Schedule:

Monday - Friday: 8 AM - 5 PM AZ Time

Remote Work Eligibility:

This position is remote and available only to residents of the following states: 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.

Position Summary:

This role involves coordinating patient billing and collections, managing accounts through the billing process, and working with payors to ensure reimbursement. Leadership and training of the patient financial services team are key responsibilities, along with serving as a resource for complex cases and departmental needs.

Core Functions:

1. Provide leadership, training, and support to the Patient Financial Services team, lead projects, and suggest process improvements.
2. Process payments, claims, adjustments, refunds, denials, and payment plans accurately and timely.
3. Reconcile accounts, pursue balances, and work with payors to maximize reimbursement.
4. Research and resolve payment issues, denials, and discrepancies, making appeals as needed.
5. Build relationships with internal departments and external providers, identify payment trends, and communicate effectively.
6. Respond to billing inquiries and provide excellent customer service to patients and providers.
7. Reduce accounts receivable balances and meet collection goals.
8. Utilize systems for data analysis and communication with payors.
9. Work independently, following standards, and use critical thinking to resolve issues.

Minimum Qualifications:

High school diploma/GED or equivalent, with 2+ years of experience in patient financial services, insurance, or related fields. Knowledge of medical terminology, insurance processes, and strong communication skills are required. Proficiency in office software is necessary.

Preferred Qualifications:

Experience with Banner systems, prior collections experience, or a background in finance or related fields is preferred.

EEO Statement:

Banner Health is an Equal Opportunity Employer supporting a drug-free workplace.

Privacy Policy:

Privacy Policy