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Job Category : | Business |
Company Name: | Banner Health |
Position Name: | Patient Financial Services Representative – Eligibility Unit |
Location : | Greeley, CO |
Job Description : | Primary City/State: Mesa, Arizona Department Name: Work Shift: Day Job Category: Revenue Cycle Primary Location Salary Range: $16.56/hr – $24.84/hr, based on education & experience In accordance with Colorado’s EPEWA Equal Pay Transparency Rules. This can be a remote position if you live in the following states only: AZ, CO A rewarding career that fits your life. Those who have joined the Banner mission come from all walks of life, united by the common goal: Make health care easier, so life can be better. If changing health care for the better sounds like something you want to be part of, apply today. The Patient Financial Services (PFS) Department is responsible for the timely and accurate billing and collections of revenue based on CMS guidelines, payer contracts and federal regulations. You will have many opportunities to grow and advance in your career path. We strive to create an environment that engages employees to produce at the highest level and recognition for their accomplishments. All individual and team work assignments are designed to collectively meet Banner’s goals emphasizing excellent customer service and making a difference in our customer’s lives. As a Patient Balance Management Patient Financial Services Representative you will have a direct impact on executing Banner’s strategy of “Perfecting the Customer Experience” This position is part of Patient Balance Management and manages balance resolution operations for our customers. Basically our mission is to simplify the patient financial experience by providing our customers with access to the tools and information they need to resolve their balance with Banner. Patient Balance POSITION SUMMARY This position coordinates and facilitates patient billing and collection activities in one or more assigned areas of billing, payment posting, collections, payor claims research, and other accounts receivable work. Works as a member of a team to ensure reimbursement for services in a timely and accurate manner. CORE FUNCTIONS 2. As assigned, reconciles, balances and pursues account balances and payments, and/or denials, working with payor remits, facility contracts, payor customer service, provider representatives, spreadsheets and the company’s collection/self-pay policies to ensure maximum reimbursement. 3. May be assigned to research payments, denials and/or accounts to determine short/over payments, contract discrepancies, incorrect financial classes, internal/external errors. Makes appeals and corrections as necessary. 4. Builds strong working relationships with assigned business units, hospital departments or provider offices. Identifies trends in payment issues and communicates with internal and external customers as appropriate to educate and correct problems. Provides assistance and excellent customer service to these internal clients. 5. Responds to incoming calls and makes outbound calls as required to resolve billing, payment and accounting issues. Provides assistance and excellent customer service to patients, patient families, providers, and other internal and external customers. 6. Works as a member of the patient financial services team to achieve goals in days and dollars of outstanding accounts. Reduces Accounts Receivable balances. 7. Uses systems to document and to provide statistical data, prepare issues list(s) and to communicate with payors accurately. 8. Works independently under general supervision, following defined standards and procedures. Reports to a Supervisor or Manger. Uses critical thinking skills to solve problems and reconcile accounts in a timely manner. External customers include all hospital patients, patient families and all third party payers. Internal customers include facility medical records and patient financial services staff, attorneys, and central services staff members. Performs all functions according to established policies, procedures, regulatory and accreditation requirements, as well as applicable professional standards. Provides all customers of Banner Health with an excellent service experience by consistently demonstrating our core and leader behaviors each and every day. NOTE: The core functions are intended to describe the general content of and requirements of this position and are not intended to be an exhaustive statement of duties. Specific tasks or responsibilities will be documented as outlined by the incumbent’s immediate manager. |
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