PFS Representative DME Collections Job Gilbert Arizona USA,Healthcare

Department Name: PFS HME & HIT

Work Shift:

Day Job Category:
Revenue Cycle Innovation and highly trained staff.

Banner Health recently earned Great Place To Work Certification. This recognition reflects our investment in workplace excellence and the happiness, satisfaction, wellbeing and fulfilment of our team members. Find out how we're constantly improving to make Banner Health the best place to work and receive care.

The Patient Financial Services Representatives are a crucial part of revenue cycle involving reducing AR and improving patient experience firsthand, post care. This involves researching and holding payers accountable to pay the expected rates according to the contracts in place with Banner Health within the allowed time frames. This role provides an immediate sense of accomplishment when resolving outstanding issues with these insurance payers and allows growth throughout the collections/Accounts receivable area of expertise.

Schedule:

Monday-Friday, Full time. Flexible schedule after successful completion of Training.

Location:

REMOTE, Banner provides equipment Ideal candidate: 1 year experience Patient Financial Services - Collections and Accounts Receivable experience in healthcare Revenue Cycle experience (clearly reflected in attached resume);
Ideal candidate will have experience with Durable Medical Equipment (DME) and/or Waystar. This can be a remote position if you live in the following state(s) only: AL, AK, AR, AZ, CA, CO, FL, GA, IA, , IN, KS, KY, LA, MD, MI, MN, MO, MS, NC, ND, NE, NH, NY, NM, NV, OH, OK, OR PA, SC, TN, TX, UT, VA, WA, WI, WV, WY.

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

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.

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.

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.

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.

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.

Works as a member of the patient financial services team to achieve goals in days and dollars of outstanding accounts. Reduces Accounts Receivable balances.

Uses systems to document and to provide statistical data, prepare issues list(s) and to communicate with payors accurately.

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.

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…