Acute Patient Access Services Representative

3 weeks ago

Payson, United States Banner Health Full time

**Primary City/State**:
Payson, Arizona

**Department Name**:
Admitting-Hosp

**Work Shift**:
Day

**Job Category**:
Revenue Cycle

**Schedule: Monday - Friday 7:30am to 4:00pm**

As the gateway to Arizona's dramatic high country, Payson offers four-season recreation. This land, where the Ponderosa Pine forest meets desert canyon country, offers sparkling lakes, and scenic mountains. Ride horses in the morning and fly-fish in the afternoon, and once the first snow falls, strap on your skis and find a trail for cross-country skiing.

Banner Payson Medical Center is the largest community health care provider in Arizona's Rim Country and remains committed to making a difference in people's lives by providing the highest quality of care to the residents of Payson and the many surrounding communities. A full-service health care facility, the 24 bed hospital offers extensive services including cardiopulmonary/respiratory, emergency, intensive care, imaging, labor and delivery, laboratory, surgery and rehabilitation. Banner Payson Medical Center also offers an array of outpatient services and specialty clinics including OB/GYN, urology and podiatry surgery, general and orthopedic surgery, family medicine, outpatient imaging, bone densitometry, diagnostic x-rays, ultrasound, mammography, nuclear medicine, nuclear cardiac stress testing, CT scans, MRI, pulmonary function testing, EEG, infusion center, plus rehabilitation therapies.

This position is the first point of contact at healthcare facilities and assists patients with the administrative aspect of gaining access to medical treatment. This position is in a hospital-based setting which includes Emergency Dept, Inpatient, Obstetrics, Outpatient, etc. Responsible for in person patient intake and registration, providing superior customer service, accurately identifying, and obtaining authorizations patients’ insurance, verifying eligibility and benefits, generating patient estimates for services rendered, financial counseling, and collecting patient liability. Demonstrates the ability to resolve customer issues and provides excellent customer service.

CORE FUNCTIONS

1. Verifies patient’s demographics and accurately inputs this information into EHR, including documenting the account thoroughly to maximize reimbursement and minimize denials/penalties from the payor(s).

2. Proficiency with multiple services including, but not limited to inpatient, observation, emergency, obstetrics, surgery, imaging. This position may cover services 24/7.

3. Demonstrates a thorough understanding of insurance guidelines for all services. Proficiently verifies, reads, and understands insurance benefits.

4. Demonstrates proficient understanding that this position creates the first impression for our patient's experience with Banner Health. Demonstrates a positive patient experience through interactions and effective communication.

5. Proficient understanding of payer authorization guidelines. Accurately submits timely notification according to insurance guidelines using various systems to reduce/eliminate denials. Consistently meets all registration related key performance indicators as determined by management.

8. Provides a variety of patient services and financial services tasks. May be assigned functions such as transporting patients, training new hire employees, recapping daily deposits, posting daily deposits, or conducting other work assignments of the Patient Access Services team.

9. Works independently under regular supervision and follows structured work routines. Works in a high-volume, fast paced, clinical environment which requires to ability to be adaptable, critical thinking, and independent decision making and to prioritize work and ensure appropriateness and timeliness of each patient’s care. Primary external customers include patients and their families, physician office staff and third-party payors.

MINIMUM QUALIFICATIONS

High school diploma/GED is required.

Must have customer service skills or 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 mínimal supervision and to work both independently and collaboratively in a team environment. 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, database software, and typing ability are required.

Employees working at Banner Behavioral Health Hospital or the Whole Health Clinic must possess an Arizona Fingerprint Clearance Card at the time of hire and maintain the card for the duration of their employment. Employees working at Banner MD Anderson on the Banner University Medical Center Phoenix campus must possess a State of Arizona Department of Public Safety Level

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