Medicare PFS Representative CBO
Banner Health (Corporate) - Mesa, AZ

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Banner Health is the leading healthcare company in Arizona and the 2nd largest private employer in the state. With over 34,000 employees across 7 states we are a proven industry leader and an established company. Banner is currently seeking a Patient Financial Services Representative for the Central Billing Office in the Medicare Department. This position will be located in Mesa, AZ (Country Club & Brown). The Patient Financial Services Representative will be assigned an 8 hour day shift (Monday-Friday only).

Medicare and/or Medicare HMO billing experience is preferred. Knowledge of aging spreadsheets is preferred.

Job 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.

Essential 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.

Minimum Qualifications

A high school diploma or equivalent education.

Requires the knowledge of medical terminology and patient financial services processes normally acquired over one or more years of work experience in hospital customer service and/or medical billing or physician office environments. Must be able to evaluate payor remits for accuracy in accordance with to payor guidelines.

Requires strong organizational abilities, proficiency in Professional Customer Service, oral and written communications, accurate and efficient keyboarding with strong competencies in the use of common office software applications, the ability to create spreadsheets to analyze and present data. Requires effective teamwork skills and the ability to meet deadlines and productivity standards.

Preferred Qualifications

Work experience with the Company’s systems and processes is preferred.

Additional related education and/or experience preferred.

Banner Health - 2 years ago - save job - block
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