PFS Rep CBO Billing Follow-up Denials Imaging Job Avondale Arizona USA,Healthcare

Department Name

Rev Cycle Ambulatory Imaging

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.

Our PFS Representatives are a crucial part of revenue cycle involving reducing AR and improving patient experience firsthand, post-care. As a member of the PFS Rep CBO, Billing Follow-up Denials, Imaging team, you will work with the Insurance companies on behalf of the patient to assist with obtaining payments for our Banner Imaging teams. In this role, you’ll bring your experience with EOBs and medical claims experience to research and hold payers accountable to pay the expected rates according to the contracts in place with Banner Health, within the allowed time frames.

Experience with different payers is a plus, along with knowledge for various denials, such as no authorization, eligibility denials, etc. In this role you will expand your knowledge in appeals, follow up on denials, sending medical records, eligibility, follow up no response on accounts, verifying Authorization, and negotiating with insurance and payers.

Schedule

Full time, Monday-Friday. Training is 8am-5pm AZ time
. Flexible scheduling after training is complete.

Location

REMOTE, Banner provides equipment

Ideal candidate

1 year patient financial services (Central Billing) or medical claims experience (clearly reflected in attached resume);
Experience with submitting appeals and understanding of EOB;
General knowledge of codes used for claim processing.

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. Please note, training will 8am-5pm AZ time
, and after training scheduling will be between 6am-6pm AZ time
.

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

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…