| Primary City/State: Tucson, Arizona Department Name: C/P-Sleep-Clinic-NC Work Shift: Day Job Category: Revenue Cycle If you're looking to leverage your abilities to make a real difference - and real change in the health care industry - you belong at Banner Health. With facilities in six western states, we're committed to not only providing the finest care possible, but to advancing the way care is provided. To achieve our vision, we seek driven professionals who embrace change and who possess the passion and skills to make it happen. In this role supporting the Sleep Clinic and Sleep Lab, you will be responsible for providing a patient-focused experience, while handling a variety of tasks, including data entry, verification of medical coverage, insurance prior authorization, calculating patient liability, as well as collecting deposits and co-payments at the point of service. You will be joining a team with a great foundation, always striving to help each other exceed expectations. This position is for a Monday-Friday, daytime schedule during clinic hours. Enjoy a flat rate $1/hour weekend shift differential and an 18%-night shift differential when applicable. Your pay and benefits (Total Rewards) are important components of your Journey at Banner Health. Banner Health offers a variety of benefit plans to help you and your family. We provide health and financial security options, so you can focus on being the best at what you do and enjoying your life. University Medical Center Tucson PBCs Banner - University Medical Center Tucson is nationally recognized for providing exceptional patientcare, teaching future health-care professionals andconducting groundbreaking research. Also located onthe campus is Diamond Children's - recognized for itsspecialized pediatric services including neonatal andintensive care, emergency medicine and cancer therapies.Banner - University Medical Center Tucson is SouthernArizona's only Level 1 Trauma Center, meaning we carefor the most critically injured patients. The hospital isconsistently listed among the nation's top hospitals in theprestigious Best Hospitals ranking by U.S. News & WorldReport. Our nurses' innovative, safe and thoughtful carehas been recognized with Magnet (tm) designation fromthe American Nurses Credentialing Center. The hospital'sphysicians are full-time faculty of the University of Arizona College of Medicine - Tucson. Our specialty servicesinclude comprehensive heart and cancer care, advancedneuroscience techniques and a multi-organ transplantprogram. POSITION SUMMARY
This position coordinates a smooth patient flow process by answering phones, scheduling patient appointments, providing registration of patient and insurance information, obtaining required signatures following established processes, procedures and standards. This position also verifies insurance coverage, validates referrals and authorizations, collects patient liability and provides financial guidance to patients to maximize medical services reimbursement efforts. This also includes accurately posting patients at the point of service and releasing information in accordance with organizational and compliance policies and guidelines.
CORE FUNCTIONS
1. Performs registration/check-in processes, including but not limited to performing data entry activities, providing patients with appropriate information and intake forms, obtaining necessary signatures and generating population health summary.
2. Verifies insurance eligibility benefits for services rendered with the payors and documents appropriately. Assists in obtaining or validating pre-certification, referrals, and authorizations
3. Calculates and collects patient liability according to verification of insurance benefits and expected reimbursement. Explains and provides financial policies and available resources for alternative payment arrangements to patients and their families.
4. Enters payments/charges for services rendered and performs daily payment/charge reconciliation in a timely and accurate manner. Balances cash drawer at the beginning and end of the day and prepares daily bank deposit with necessary paperwork sent to centralized billing for record purposes.
5. Schedules office visits and procedures within the medical practice(s) and external practices as necessary. Maximizes reimbursement by scheduling patients in accordance with payor plan provisions. Confirms patient appointments for the following day as necessary and ensures patients are properly prepared for visits.
6. Demonstrates proactive interpersonal communications skills while dealing with patient concerns through telephone calls, emails and in-person conversations. Optimizes patient flow by using effective customer service/communication skills by communicating to internal and external customers, care team, management, centralized services and HIMS.
7. Assists in responding to requests for patient medical records according to company policies and procedures, and state and federal laws.
8. Provides a variety of patient services to assist in patient flow including but not limited to escorting patients, taking vitals and patient history, assisting in patient treatment, distributing mail and fax information, ordering supplies, etc.
9. Works independently under regular supervision 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. Primary external customers include patients and their families, physician office staff and third party payors.
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. Employees working at 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.
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 |
