Primary City/State:

Wheatland, Wyoming

Department Name:

Patient Accounting-Hosp

Work Shift:

Day

Job Category:

Revenue Cycle

If you???re looking to leverage your abilities to make a real difference ??? and real change in the health care industry ??? you belong at Banner Health. With facilities in six western states, we???re committed to not only providing the finest care possible, but to advancing the way care is provided. To achieve our vision, we seek driven professionals who embrace change and who possess the passion and skills to make it happen.

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Do you have a passion to provide superior customer service to all patients? Do you have experience in patient registration at a hospital or doctor's office setting, and want to continue to advance your career? We want to hear from you! Responsibilities of a Patient Access Senior Rep include warmly greeting each patient, ensure accurate demographics are captured, verify insurance benefits, generate estimates based on services rendered and provide financial options if needed.?? Senior Reps are responsible for assisting with ongoing training/onboarding, overseeing shift flow and most importantly setting an example of a great attitude towards patients and team members.

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So why should you choose us? It is simple????? A Patient Access Senior Rep is a great advancement opportunity to prepare you for a leadership role in healthcare.?? At Banner Health, our Patient Access team is committed to the growth and development of our team members. This has resulted in several successful promotions into positions of greater scope and responsibility.?? We also have a robust education platform, reimbursement for nationally recognized certifications and financial incentives for performance.?? So join us on our journey to make health care easier, so life can be better.

Platte County Memorial Hospital offers a full range of inpatient and outpatient services, including an Outpatient Clinic which brings in more than 20 of the region's top physicians in nine different medical specialties to help care for southeast Wyoming residents. A $16 million renovation created a new inpatient wing, surgical suite, and diagnostic imaging departments while making enhancements to the emergency department and laboratory. In Wheatland, Wyoming, you'll enjoy a quality lifestyle in a close-knit community that is located just 70 miles north of Wyoming's capital city of Cheyenne. You'll experience a wealth of recreational opportunities in southern Wyoming, including many lakes and the nearby Laramie Peak and Medicine Bow National Forest areas. We are also an easy drive from all of the recreational and cultural activities available in Colorado's Rocky Mountains and the city of Denver.

POSITION SUMMARY
This position provides leadership, precepts, training and offers on-going guidance as needed for an admitting/registration team. This position conducts customer service, registration, point of service collections, may validate and/or obtain authorizations from payers in order to maximize reimbursement. Provides a customer-oriented interaction with each patient in order to maximize customer experience. Obtains all required consents for each registration. Document all facets of the registration process, loads correct payer(s) to each account and meet accuracy goals as determined by management. Collect payments and regular collection targets as determined by management. May perform financial counseling when appropriate. Meets productivity targets as determined by management. Demonstrates the ability to resolve customer issues and provide excellent customer service.

CORE FUNCTIONS
1. Helps provide a positive customer experience by welcoming patient to facility, introducing self, explaining what rep intends to do with patient, thanking them for choosing Banner Health. Serve as an example to peers for both behaviors and performance of job functions. Provide leadership and training to Patient Financial Services Representatives, and act as a knowledge resource for internal customers. Serves as a primary resource in complex and/or sensitive cases. Oversees patient flow during the shift and assigns job duties to staff to ensure patient flow is maintained at an optimal level. Assesses the needs of the department and may flex employees shift as appropriate. Resolves employee/patient issues that arise during shift and communicates issues to supervisor for follow up. Trains new hires and/or internal transfers thoroughly and provide on-going guidance to ensure their success.

2. Performs pre-registration/registration processes, verifies eligibility and obtains authorizations submits notifications and verifies authorizations for services. Verifies patient???s demographics and accurately inputs this information into A/D/T system, including documenting the account thoroughly in order to maximize reimbursement and minimize denials/penalties from the payor(s). Obtains federally/state required information and all consents and documentation required by the patient???s insurance plan(s). Must be able to consistently meet monthly individual accuracy goal as determine by management.

3. Verifies and understands insurance benefits, collects patient responsibility based on estimates at the time of service or during the pre-registration process. As assigned collection attempts may be made at the bedside. Must be able to consistently meet monthly individual collection target as determined by management.

4. May provide financial counseling to patients and their families. Explains company financial policies and provides information as to available resources, offers and assists patients with applying for Medicaid. Assists patients with completing all financial assistance programs (i.e.: basic financial assistance, enhanced financial assistance, prompt pay discount, loan program).

5. Acts as a liaison between the patient, the billing department, vendors, physician offices and the payor to enhance account receivables performance, resolve outstanding issues and/or patient concerns, and maximize service excellence.

6. Communicates with physicians, clinical and hospital staff, nursing and Health Information Management Services to resolve outstanding issues and/or patient concerns. Works to meet the patient???s needs in financial services.

7. Consistently meets monthly individual productivity goal as determined by management. Completes daily assignments/work lists, keeps electronic productivity log up to date and inputs information accurately. Identifies opportunities to improve work process and practices good teamwork.

8. Provides a variety of patient services and financial services tasks. May be assigned functions such as transporting patients, may precept new hire employees, recapping daily deposits, posting daily deposits or conducting other work assignments of the Patient Financial Services team.

9. Works independently under general supervision, leads and follows structured work routines. Works with multiple applications in order to perform job functions. 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. This position requires the ability to retain large amounts of changing payor information/knowledge crucial to attaining reimbursement for the services provided. Primary external customers include patients and their families, physician office staff and third-party payors.

MINIMUM QUALIFICATIONS

High school diploma/GED or equivalent working knowledge.

Requires knowledge of patient financial services, financial, collecting services or insurance industry experience processes normally acquired over two or more years of work experience. Requires knowledge of medical terminology and a broad understanding of all common insurance and payor types and authorization requirements. Requires the ability to manage multiple tasks simultaneously with minimal supervision and to work independently. Requires strong interpersonal, oral, and written communication skills to effectively interact with a wide range of audiences. Employees working at Banner Behavioral Health Hospital or the Whole Health Clinic must possess an Arizona Fingerprint Clearance Card at the time of hire and maintain the card for the duration of their employment.

Strong knowledge in the use of common office software, word processing, spreadsheet, and database software are required.

PREFERRED QUALIFICATIONS

CHAA certification is preferred. Work experience with the Company???s systems and processes is preferred. Previous cash collections experience is preferred.

Additional related education and/or experience preferred.