Senior PFS Representative CBO

Banner Health; Phoenix (AZ); Remote; USD 40,000 - 70,000; Full time

Job summary

An established industry player in healthcare is seeking a Senior Patient Financial Services Representative to enhance patient experience and streamline billing processes. In this dynamic role, you will collaborate with insurance companies to secure payments, manage accounts, and provide leadership within the team. With opportunities for remote work and a focus on professional growth, this position is ideal for those looking to make a significant impact in the revenue cycle. Join a supportive environment that values your contributions while working towards excellence in patient care.

Qualifications

• 2+ years of experience in patient financial services or insurance.
• Strong communication and multitasking skills are essential.

Responsibilities

• Coordinates patient billing and collection activities.
• Leads and trains Patient Financial Services Representatives.

Skills

Patient Financial Services

Insurance Knowledge

Communication Skills

Multitasking

Medical Terminology

Education

High School Diploma/GED

Tools

Microsoft Office

Banner Systems

CERNER

Finthrive collections

nthrive claims

Job description

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Join to apply for the Senior PFS Representative CBO role at Banner Health

Estimated Pay Range: In accordance with State Pay Transparency Rules.

Department Name: Acute Billing & Follow Up-Corp

Work Shift: Day

Job Category: Revenue Cycle

Estimated Pay Range: In accordance with State Pay Transparency Rules.

A rewarding career that fits your life. Banner Health offers many career and lifestyle options, including remote work. If you’re looking to leverage your abilities – you belong at Banner Health.

The Senior Patient Financial Services Representatives are key in revenue cycle, focusing on reducing AR and enhancing patient experience post-care. They work with insurance companies to secure payments for hospital bills, researching and holding payers accountable to contract rates within designated timeframes. This role provides immediate achievement when resolving insurance issues and offers growth in collections/accounts receivable expertise.

Systems used include: Microsoft Office, Edge, Banner Systems (MS4, CERNER, Finthrive collections, nthrive claims).

Schedule: Monday - Friday, 8-hour shifts - AZ Time, occasional weekends. This can be remote if residing in: 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.

Within Banner Health Corporate, you can apply your experience supporting a nationally-recognized healthcare leader. We offer careers across disciplines like Human Resources, Finance, IT, Legal, Managed Care, and Public Relations, contributing to award-winning patient care.

Position Summary: Coordinates patient billing and collection activities, manages accounts through the billing process to payors, and ensures reimbursement. Provides leadership, participates in staff training, and serves as a resource for complex cases. May be assigned to various department roles based on need.

Core Functions:

1. Leads and trains Patient Financial Services Representatives, manages special projects, and suggests process improvements.
2. Processes payments, claims, adjustments, refunds, denials, applications, and payment plans accurately and timely, coordinating with staff and physicians.
3. Reconciles and pursues account balances, working with payors and contracts to maximize reimbursement.
4. Researches payments and denials, makes appeals and corrections as needed.
5. Builds relationships with business units and hospital departments, identifies payment trends, and educates internal/external clients.
6. Responds to calls, resolves billing/payment issues, and provides excellent customer service to patients and providers.
7. Reduces AR balances, works with the team to meet outstanding account goals.
8. Uses systems for data reporting, issue tracking, and communication with payors.
9. Works independently under supervision, using critical thinking to reconcile accounts and solve problems.

Minimum Qualifications: High school diploma/GED, 2+ years of experience in patient financial services, insurance, or related fields. Knowledge of medical terminology, insurance types, and authorization requirements. Strong communication and multitasking skills. Proficiency in office software.

Preferred Qualifications: Experience with Banner systems, cash collections, or financial institutions. Additional related education or experience is a plus.

EEO Statement: Supports a drug-free workplace. EEO/Female/Minority/Disability/Veterans.

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