Job Number 205372 Facility Banner Health (Corporate) Shift Day Department Banner Health (Corporate) - PFS GovA/R Mgt-AHCCCS Position Type FT: Full-Time Street Address 525 W. Brown Road City & State US-AZ-Mesa Posting Category Billing / Registration / Scheduling New Grad No
Please note: This is a requisition for various Patient Financial Services Representative positions that are open at the Banner Corporate Center - Mesa. During the application process, you will have the opportunity to apply to multiple positions attached to this requisition. Applicants will be considered accordingly.
Banner Health currently has openings for direct hire Patient Financial Services Representatives positions.
The PFS Rep department includes:
Commercial Insurance/Contracts Division
AHCCCS, Blue Cross, Tricare, VA, Work Comp and Audits Division
Medicare/Medicare Advantage Division
Banner Corporate Center - Mesa
525 W Brown Rd.
Mesa, AZ 85201
The PFS Department is responsible for the timely and accurate billing and collections of revenue based on CMS guidelines, payer contracts and federal regulations. 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.
PFS Rep Day to Day Responsibilities:
PFS Representatives are responsible for accurate billing of services rendered, timely and accurate collection of expected reimbursement. Once the payer has satisfied the expected reimbursement any patient responsibility balance is billed to the patient. These functions are accomplished by:
Review of Initial claims to ensure clean claim submission
Review and follow up on billed claims to investigate reason for payment delays or denials by contacting the payer or researching the payer website
Calling payers to verify receipt of claims, what is needed to resolve unpaid accounts, short paid claims and/or other complex denials
Take incoming calls from patients to assist with resolving their Commercial Insurance questions as well as self-pay balances
Clear documentation of all work activity in the Ms4 account to ensure continuity throughout the entire revenue cycle
PFS Rep Department Requirements:
Build strong relationships with internal and external business contacts
Ability to evaluate payment remits and identify trends causing delays in appropriate reimbursement
Excellent Customer Service and communication skills in order to assist patients and payers in written and via phone
Strong organizational and computer skills including accurate keyboarding
Ability to multi-task in a very fast paced environment
General knowledge of Medical terminology, CPT/HCPCS and ICD codes
Preferred - work experience in hospital medical billing
You want to change the health care industry – one life at a time. You belong here. You’re excited to be part of the dramatic changes happening in the health care field. In fact, you thrive on change. But you also understand that excellent, compassionate patient care is the true measure of the success of these changes. You belong at Banner Health. Our award-winning, comprehensive health system incl...udes 23 hospitals in seven western states, primary care health centers, research centers, labs, a network of physician practices and much more. Throughout our system, skilled, compassionate professionals use the latest technology to change the way care is provided. If you’re looking to be a key contributor to a forward-looking organization, you’ll experience a wide variety of professional advantages: •Our vision for changing the future of health care gives you the opportunity to leverage your abilities to achieve something historic. •Our expansive system offers you an unmatched variety of clinical settings – from large urban trauma center to small rural hospital, ambulatory to home health. Our system also includes hospitals specializing in cancer, heart health and pediatrics. •Our many locations also translate into a broad selection of exciting and rewarding lifestyle options – from the big city to the wide-open spaces. •Our commitment to healthcare innovation means you always have the latest technologies at your fingertips to help you provide the finest care possible. •The size, success and growth of our system provide you with the stability and options to pursue your desired career path. •Our competitive compensation and comprehensive benefits offer you options to complement your unique needs.