This position is located in a medical clinic or physicians practice and coordinates a smooth patient flow process by answering phones, providing registration of patient and insurance information, obtaining required signatures following established processes, procedures and standards. This position conducts registration and obtains financial reimbursement for all patients accessing service at clinics and physician practices. Reviews all account information to optimize collection efforts and system recording events to expedite reimbursement and compliance. This also includes accurately posting patients at the point of service and releasing information in accordance with organizational and compliance policies and guidelines. And resolving issues as they arise to promote point of service decisions.
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. Assists front office in answering phones, taking messages, prescription refills, locating information and other related duties when necessary. Documents correspondence in the patients medical record. Updates demographic and insurance information in the practice management system.
Receives physicians orders and completes patient registration. Obtains necessary authorizations, pre-certifications and/or referrals. Works closely with the billing department to ensure accurate coding for all charges. 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.
Confirms patient appointments for the following day as necessary and ensures patients are properly prepared for visits. Assists in responding to requests for patient medical records according to company policies and procedures, and state and federal laws.
Provides information and customer service to patients and patient families. Provides information and instructions to patients regarding clinic procedures and services.
Performs general office duties such as distributing mail and fax information, ordering supplies, etc.
High school diploma/GED or equivalent working knowledge.
Requires knowledge of patient financial services, financial, collecting services or insurance industry experience and customer service skills as normally acquired over one or more years of related work experience. Requires the ability to build familiarity with medical terminology and an understanding of all common insurance and payor types. Accurate and efficient keyboarding skills, and the ability to work effectively with common office software are required. Must have highly developed interpersonal skills and communications skills, with a strong customer service orientation to effectively interact with a wide range of audiences. Requires the ability to manage multiple tasks simultaneously with minimal supervision and to work independently. Requires strong interpersonal, oral, and written communication skills.
Previous medical, financial services and/or customer service work experience preferred.
Additional related education and/or experience preferred.
Internal Number: 252755
About Banner Health
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 includes 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 loc...ations 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.