Front Office Representative Physician Practice

Primary City/State:

Tucson, Arizona

Department Name:

Psych-Whole Health-Clinic

Work Shift:

Day

Job Category:

Revenue Cycle

Good health care is key to a good life. At Banner Health, we understand that, and that’s why we work hard every day to make a difference in people’s lives. We’ve united under a common goal: Make health care easier, so life can be better. It’s a lofty goal, but it’s one we’re committed to seeing through. Do you like the idea of making a positive change in people’s lives – and your own? If so, this could be the perfect opportunity for you. Apply now.

The Whole Health Clinic is the first Banner integrated clinic that consists of behavioral health specialists and primary care services all in one. We also have the Early Psychosis Intervention Center (EPICenter) which is the first of its type of clinic in the Tucson area. Whole Health Clinic has received the Banner Health Amazement Award in 2018, the APA Silver Award in 2019 and ArMA Distinguished Service Award in 2020. Quarterly incentives are paid out for accuracy on tasks if qualifications are met. Whole Health has a wonderful caring team. We are located in a great area of town. If you enjoy helping others, working to provide a great environment and keeping busy, this is great place to work.

As a patient financial services representative, you will be responsible for scheduling, pre-registration, registration, insurance verification/authorizations, obtaining signatures for various forms, documenting info, creating patient estimates, collecting co-pay, deductible and past balance. The PFS must be able to discuss financial responsibility with patients and or families and providing assistance or proper paperwork, communicate with all clinical staff, multi -taking, high volume appointments and phone calls .

Location:

Whole Health Clinic
535 N. Wilmot Rd, Suite 201
Tucson AZ 85711

Clinic Hours:

Monday - Thursday 8a -7p

Friday 8a-5p

40 hours per week. Monday through Friday
No weekends, no on-call required

Banner University Medical Group is our nonprofit faculty practice plan associated with the University of Arizona Colleges of Medicine in Phoenix and Tucson. Our 1,100-plus clinicians provide primary and specialty care to patients at highly ranked Banner - University Medical Centers and dozens of clinics while providing mentorship to more than 1,200 residents and fellows. Our practice values and encourages the three-part mission of academic medicine: research, education and excellent patient care.

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 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

Work experience with the Company’s systems and processes is preferred. Previous cash collections experience is preferred.

Additional related education and/or experience preferred

EEO Statement:

EEO/Disabled/Veterans

Our organization supports a drug-free work environment.

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