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Banner Staffing Services Patient Financial Services
3 months ago
**Primary City/State**:
Mesa, Arizona
**Department Name**:
Banner Staffing Services-AZ
**Work Shift**:
Day
**Job Category**:
Revenue Cycle
**These recognitions reflect Banner Health's investment in team members' professional development, wellness benefits, and continued education. It highlights our commitment to advocating for diversity in the workplace, promoting work-life balance, and boosting employee engagement**.
As a valued and respected Banner Health team member, you will enjoy:
- Competitive wages
- Paid orientation
- Flexible Schedules (select positions)
- Fewer Shifts Cancelled
- Weekly pay
- 403(b) Pre-tax retirement
- Employee Assistance Program
- Employee wellness program
- Discount Entertainment tickets
- Restaurant/Shopping discounts
- Auto Purchase Plan
**Registry/Per Diem positions do not have guaranteed hours and no medical benefits package is offered. **Completion of post-offer Occupational Health physical assessment, drug screen and background check (includes; employment, criminal and education) is required.
**Location**:37100 N. Gantzel Rd. Ste. 107, Queen Creek, AZ 85140
**Shift: Mon-Fri 8am - 5pm**
This position is responsible for providing personalized coordination, clarification and communication of all financial aspects of care continuum, including insurance and authorization verification, registration, financial counseling and claims research. This position partners with the clinical care team to determine financial impact for the patient and serves as the primary contact for any financial questions related to a patient’s care across the entire continuum of their treatment, ensuring a seamless experience for the patient and their family.
CORE FUNCTIONS
1. Performs pre-registration/registration processes. Partners with the clinical care team to determine initial authorizations needed based on the predicted care treatment plan. Obtains patient insurance benefit information for all aspects of the treatment, including, but not limited to, inpatient and outpatient services, prescription drugs, and travel and housing, if necessary. Assesses need for alternative coverage sources.
2. Verifies insurance coverage and obtains authorizations and notifications throughout the patient’s treatment. Obtains all necessary signatures and documentation required by the patient’s insurance plan. Accurately and completely documents all information into the patient records system to ensure maximum reimbursement. Monitors and updates information regarding insurance data, authorizations, preferred providers and changes in patient’s treatment plan. Partners with the clinical care team and insurance provider to ensure continued coverage of patient’s care and maximum reimbursement and minimized financial impact to the patient.
3. Provides financial counseling to patients and their families and serves as the primary resource throughout the patient’s treatment. Discusses benefits and other financial issues with patients and/or family members during initial referral and during continuation of care. Advises patients on insurance and billing issues and options. Explains company financial policies and provides information as to available resources and avenues for alternative payment arrangements. Assists patients, families and team members in addressing insurance coverage gaps via alternative funding options.
4. Provides financial advocacy, assistance and support to patients and families, as needed. Assists patients who are un-insured to access other funding resources and completes required documents. Maintains current working knowledge of Medicare, Medicaid and other program benefits and criteria, particularly as they pertain to long-term care and low-income patients. May serve as a liaison between the facility and community in making community resources available to the patient and family.
5. Acts as a liaison between patient/PFS department/payer to enhance account receivables performance, resolve outstanding issues and/or patient concerns, and to maximize service excellence.
6. Calculates patient liability according to verification of insurance benefits, collects deposits and co-payments.
7. May provide leadership and training to other members of the financial team and serves as a resource for internal and external customers.
8. Works independently under general supervision, leads and follows structured work routines. Works in a fast paced, multi task environment with high volume and immediacy needs requiring independent decision making and sound judgment to prioritize work and ensure appropriateness and timeliness of each patient’s care. This position requires the ability to retain large amounts of changing payor information/knowledge crucial to attaining reimbursement for the services provided. This position is an integral part of the care team, as they serve as the primary contact for all financial aspects of the patient’s care, both for internal and external customers. Inter
