PFS Representative CBO AR Denial Follow Up

PFS Representative CBO AR Denial Follow Up page is loaded## PFS Representative CBO AR Denial Follow Upremote type:
Remote locations:
Remote Arizona time type:
Full time posted on:
Posted Todayjob requisition :
R4431770
** Department Name:
** Amb Billing & Follow Up
*
* Work Shift:

** Day
* * Job Category:
** Revenue Cycle
** Estimated Pay Range:**$18.02 - $27.03 / hour, based on location, education, &  accordance with State Pay Transparency Rules.

A rewarding career that fits your life. As an employer of the future, we are proud to offer our team members many career and lifestyle choices including remote work options. If you’re looking to leverage your abilities – you belong at Banner Health.

The Patient Financial Services Representative CBO will be responsible for checking status on claims via payer portal, phone calls or emails depending on payer, taking necessary actions to resolve denials and ensure payment. Actions may include, but are not limited to, verifying eligibility, verifying credentialing of providers, sending to coding for changes, providing medical records for proof of medical necessity, etc.

Will be identifying trends and issues with payers and other duties as needed to help with account receivables and denial resolution.
** Systems frequently used:
Cerner, Nextgen, Fin Thrive, MS4, Insurance portals
**** Desired

Experience:

A/R Healthcare
**** Monday - Friday 8:30am - 5pm AZ Time (some flexibility after training)
**** This can be a remote position if you live in the following states only: AK, AZ, AR, CA, CO, GA, FL, IA, , IN, KS, KY, LA, MD, MI, MO, MN, MS, NH, NM, NY, NC, ND, NE, NV, OH, OK, OR, PA, SC, TN, TX, UT, VA, WI, WV, WA, & WY
** Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care.

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  1. May be assigned to process payments, adjustments, claims, correspondence, refunds, denials, financial/charity applications, and/or payment plans in an accurate and timely manner, meeting goals in work quality and productivity. Coordinates with other staff members and physician office staff as necessary ensure correct processing.
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…