**Primary City/State:**

Mesa, Arizona

**Department Name:**

Admitting-Hosp

**Work Shift:**

Day

**Job Category:**

Revenue Cycle

**Banner Health is honored to be recognized by Becker’s Healthcare as one of the TOP 150 places to work in health care for 2024!** This recognition in both 2023 and 2024 reflects Banner Health's investment in team members' professional development, wellness benefits, and continued education. It highlights our commitment to advocating for diversity in the workplace, promoting work-life balance, and boosting employee engagement.

The **Acute Patient Access Services Representative** will support the Verifier Office. The Verifier office handles all inpatient accounts and is responsible for handling Full registration/check ins on the floor, inpatient rooms utilizing a WOW (workstation on wheels) – verifying demographics, obtaining and entering insurance information, verifying eligibility, running patient estimates, having financial conversations with the patient to include explanation of benefits and collecting amount due, setting up payment plans, notifying insurances of admission, obtaining signatures, completing pre-registration for non-scheduled patients. Additionally, obtains authorization from the insurance for Inpatient/Observation stays.

**Schedule: Friday, Saturday & Sunday 6AM – 6PM**

Mandatory on-call shifts & Holiday Rotation required (shift selections will take place after training is completed)

**Enjoy an extra $1/hour weekend shift differential and an 18% night shift differential when applicable.**

****All Acute Patient Access Services New Hires are required to attend New Hire Orientation & PAS New Hire Training.** **Training can be the first 1-4 weeks Monday - Friday standard business hours before beginning the needed shift/hours.**

Located on an 80-acre campus in Mesa, Arizona, Banner Desert Medical Center is one of Arizona's largest and most comprehensive hospitals and was recognized by U.S. News and World Report as one of Phoenix's Best Hospitals. We provide an abundance of exceptional opportunities with more than 700 licensed beds, including over 100 dedicated to children and 76 dedicated to our NICU. Areas of excellence include high-risk pregnancy and neonatal care, obstetrics and gynecology, pediatrics, cardiology, oncology and emergency medicine. With 33 operating rooms, we offer a full range of surgical specialties and advanced technology that includes the da Vinci Surgical System. Becker’s Hospital Review named Banner Desert Medical Center as one of the top 50 busiest Emergency departments in the country.

If you aim to deliver top-tier care to the most vulnerable patients, consider joining Banner Children's Hospital at Desert in Mesa, Arizona. Within our over 200 bed, state-of-the-art facility, specially trained nurses, physicians and other clinical professionals utilize the most advanced technology - including iCare ICU monitoring and robotic surgery - to provide high quality, child-friendly, family-centered care. Our facilities feature a 76-bed NICU, a 24-bed PICU, six pediatric ORs and a 22-bed ED. We also offer dedicated pediatric rehab, radiology, oncology and hematology capabilities. With clinical diversity, exceptional training programs and a supportive culture, this is a place where you can grow in your career as you help our very special patients.

POSITION SUMMARY

This position is the first point of contact at healthcare facilities and assists patients with the administrative aspect of gaining access to medical treatment. This position is in a hospital-based setting which includes Emergency Dept, Inpatient, Obstetrics, Outpatient, etc. Responsible for in person patient intake and registration, providing superior customer service, accurately identifying, and obtaining authorizations patients’ insurance, verifying eligibility and benefits, generating patient estimates for services rendered, financial counseling, and collecting patient liability. Demonstrates the ability to resolve customer issues and provides excellent customer service.

CORE FUNCTIONS

1. Verifies patient’s demographics and accurately inputs this information into EHR, including documenting the account thoroughly to maximize reimbursement and minimize denials/penalties from the payor(s).

2. Proficiency with multiple services including, but not limited to inpatient, observation, emergency, obstetrics, surgery, imaging. This position may cover services 24/7.

3. Demonstrates a thorough understanding of insurance guidelines for all services. Proficiently verifies, reads, and understands insurance benefits.

4. Demonstrates proficient understanding that this position creates the first impression for our patient's experience with Banner Health. Demonstrates a positive patient experience through interactions and effective communication.

5. Proficient understanding of payer authorization guidelines. Accurately submits timely notification according to insurance guidelines using various systems to reduce/eliminate denials. Consistently meets all registration related key performance indicators as determined by management.

6. Obtains federal/state compliance information, consents and documentation required by the patient’s insurance plan(s). This includes a thorough understanding of accurately completing hospital-based compliance forms required by CMS. Uses multiple computer applications proficiently.

7. Consistently discusses financial liability with the patient(s) and/or families that includes: collection in full of patient liability, assisting patient in applying for Banner Line of Credit, setting up payment plans and/or assisting patient with Banner Financial Assistance policy/application.

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

9. Works independently under regular supervision and follows structured work routines. Works in a high-volume, fast paced, clinical environment which requires to ability to be adaptable, critical thinking, and independent decision making and to prioritize work and ensure appropriateness and timeliness of each patient’s care. Primary external customers include patients and their families, physician office staff and third-party payors.

MINIMUM QUALIFICATIONS

High school diploma/GED is required.

Must have customer service skills or knowledge of patient financial services, financial, collecting services or insurance industry experience processes normally acquired over one or more years of work experience.

Requires the ability to manage multiple tasks simultaneously with minimal supervision and to work both independently and collaboratively in a team environment. Requires strong interpersonal, oral, and written communication skills to effectively interact with a wide range of audiences. Strong knowledge in the use of common office software, word processing, spreadsheet, database software, and typing ability are required.

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. Employees working at Banner MD Anderson on the Banner University Medical Center Phoenix campus must possess a State of Arizona Department of Public Safety Level One Fingerprint Clearance Card at the time of hire and maintain the card for the duration of their employment. This is a requirement of the Whole Family Counseling Program held at this specific facility.

PREFERRED QUALIFICATIONS

Associate’s degree in Business Management is preferred.

CHAA certification is preferred.

Previous patient access and/or cash collections experience is preferred. Work experience with the Company’s systems and processes is preferred.

Additional related education and/or experience preferred.

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Our organization supports a drug-free work environment.

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EOE/Female/Minority/Disability/Veterans

Banner Health supports a drug-free work environment.

Banner Health complies with applicable federal and state laws and does not discriminate based on race, color, national origin, religion, sex, sexual orientation, gender identity or expression, age, or disability