Patient Financial Services Representative

Primary City/State:
Sterling, Colorado
Department Name:
Sterling PCP RHC

Work Shift:

Day
Job Category:
Revenue Cycle

We’re certified as a Great Place To Work® and are looking for professionals to help us make Banner Health the best place to work and receive care. At Banner Health, caring for people is at the core of all we do. We are committed to diversity, equity and inclusion. The largest city in the northeastern part of the state, Sterling is a farm and ranch community with deep roots on the Colorado prairie.

Sterling’s laid‑back lifestyle makes it easy to explore a variety of outdoor and cultural activities, from boating, fishing, skiing and swimming in North Sterling State Park, to hiking, biking, golf, hunting-and-shooting sports or admiring unique public art.

As a Patient Financial Services Rep, your responsibilities include answering phones, scheduling patients, updating demographics, verifying and obtaining eligibility and benefits for various insurances, taking messages, checking patients in and out, and many other duties to ensure smooth workflow for patients and providers. This full‑time position is Monday – Friday with occasional Saturday morning shifts. 7AM‑7PM.

• 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.
• Verifies insurance eligibility benefits for services rendered with the payors and documents appropriately. Assists in obtaining or validating pre-certification, referrals, and authorizations
• 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.
• 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.
• 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.
• 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.
• Assists in responding to requests for patient medical records according to company policies and procedures, and state and federal laws.
• 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.
• 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.

• High school diploma/GED or equivalent working knowledge.
• Requires knowledge of patient financial services, financial, collecting services or insurance industry…