Acute Patient Access Services Representative

Banner Health

Posted 3 months ago

Full Time

Scottsdale, Arizona

In Person

Smart Summary

Responsibilities

The representative serves as the first point of contact for patients, managing the administrative process of admission, registration, and insurance verification. They are also responsible for financial counseling, collecting patient liabilities, and ensuring all compliance documentation is completed.

Qualifications

You have experience in customer service or patient financial services, including insurance industry processes. You possess strong communication skills, proficiency with office software, and the ability to manage multiple tasks independently in a fast-paced clinical environment.

Must Have Skills for ATS

EHR

medical terminology

Healthcare systems

Job Description

Primary City/State:

Scottsdale, Arizona

Department Name:

Admitting-Psych

Work Shift:

Day

Job Category:

Revenue Cycle

Great careers are built at Banner Health. We’re looking for the best and brightest to join our team that earned Great Place To Work® Certification™.  Apply today to build your career.

Banner Behavioral Health Hospital is a small specialty hospital that is free standing for behavioral health patients.  All ancillary teams work together toward the same outcome, a great experience for our patients. Joining the PAS team, the chosen candidate with have opportunities for advancement not only at our facility but within the PAS arena throughout Banner Health.

The Acute Patient Access Services Representative at Banner Behavioral Hospital is the first person our patients contact when entering our facility. The Acute PAS Rep registers/admits our patients into the hospital, obtains signatures on all pertinent paperwork, obtains their benefit information, provides financial counselling, and makes collection attempts on all patient’s financial obligations at the time of admission.  At time of discharge the Rep’s responsibility is to return the patient’s valuables and to collect any additional monies due.

Schedule: Sunday, Monday, Tuesday 7am-730pm (Requires Rotating Holidays and must be flexible to have schedule revised to meet department needs if/when necessary.)

Enjoy a flat rate $1/hour weekend shift differential for all weekends hours and an 18% night shift differential for hours after 7pm!

For more than four decades, Banner Behavioral Health has provided 24/7 crisis intervention and therapeutic services in a medically safe, recovery-focused environment. Banner Behavioral Health has 156 licensed inpatient beds and is located in Scottsdale, AZ. Our focus is on adults and adolescents dealing with mental health and/or chemical dependency issues who voluntarily seek help. Our highly skilled and compassionate staff are dedicated to providing a therapeutic healing environment and excellent health care experience.

POSITION SUMMARY

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.

6. Obtains federal/state compliance information, consents and documentation required by the patient’s insurance plan(s). This includes a thorough understanding of accurately completing hospital-based compliance forms required by CMS. Uses multiple computer applications proficiently.

7. Consistently discusses financial liability with the patient(s) and/or families that includes: collection in full of patient liability, assisting patient in applying for Banner Line of Credit, setting up payment plans and/or assisting patient with Banner Financial Assistance policy/application.

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 minimal 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, BTMC Behavioral, and BUMG, BUMCT, or BUMCS in a Behavioral Health clinical setting that serves children must possess an Arizona Fingerprint Clearance Card at the time of hire and maintain the card for the duration of their employment. An Arizona Criminal History Affidavit must be signed upon hire.

PREFERRED QUALIFICATIONS

Associate’s degree preferred.

CRCR (Certified Revenue Cycle Representative) certification, a credential offered by the Healthcare Financial Management Association (HFMA)

CHAA (Certified Healthcare Access Associate) certification, a credential offered by the National Association of Healthcare Access Management (NAHAM)

Knowledge of medical terminology or healthcare systems.

Additional related education and/or experience preferred.

EEO Statement:

EEO/Disabled/Veterans

Our organization supports a drug-free work environment.

Privacy Policy:

Privacy Policy

Banner Health

Headquartered in Arizona, Banner Health is one of the largest nonprofit health care systems in the country. The system owns and operates 33 acute-care hospitals, Banner Health Network, Banner – University Medicine, academic and employed physician groups, long-term care centers, outpatient surgery centers and an array of other services; including Banner Urgent Care, family clinics, home care and hospice services, pharmacies and a nursing registry. Banner Health is in six states: Arizona, California, Colorado, Nebraska, Nevada and Wyoming.
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