PFS CBO Clerk

Job description

Primary City/State: Mesa, Arizona Department Name: Rev Cycle Central Supp Svcs Work Shift: Day Job Category: Revenue Cycle You have a place in the health care industry. 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. Apply today. The Patient Financial Services (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. This is a perfect opportunity to learn about Patient Financial Services and grow within a very large organization. The Support Clerk tasks range from opening incoming mail, scanning, printing medical records, printing itemized statements. Completing paper intensive requests for patients and payer unit reps. Schedule: Monday - Friday between 6:30am - 3:00pm (40 hours, 5 days per week) Location: Banner Health Corporate Mesa 525 W. Brown Rd. Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care. POSITION SUMMARY This position provides a variety of support services to the Central Services billing, collections and payor unit teams. Responsible for accurate completion of tasks that expedite the billing process and improve customer service. Identifies and distributes all incoming billing claims and attachments to the appropriate unit teams. Obtains and distributes information requested by the payor for reimbursement, such as medical records, Explanation of Benefits and pre-authorization documents. Retrieves payment and transfer documents posted through the Cash Posting Department, sorts and distributes reports and correspondence. CORE FUNCTIONS 1. As assigned, evaluates, sorts, matches and distributes all billing statements and other attachments to the appropriate payor unit in a timely manner. Uses critical thinking and communication skills to resolve exceptions and missing statement or attachment issues with operations staff prior to distribution of billing. Based on area of assignment may act as a site courier. 2. As assigned, updates Patient Accounting system with appropriate notations to reflect the activities performed: Mail Outs, Faxes, Patient Statements, Medical Records, etc. 3. As assigned, sorts and distributes reports and correspondence to the appropriate payor units. Performs all mail out functions for both primary and secondary paper claims on a daily basis. 4. Obtains, maintains, and distributes information requested by the payors to process claims for reimbursement. 5. As assigned, retrieves all requested payment and transfer documents posted through Cash posting Department in a timely manner. 6. Creates spreadsheets and reports from databases to provide statistical data as requested. 7. As assigned, delivers mail and interoffice supply shipments. 8. Works under regular supervision. Internal customers are Patient Financial Services staff, accounts receivable staff, and facility admitting staff. External customers are physician office staff, patients and patient families, insurance and other payor organization staff. MINIMUM QUALIFICATIONS High school diploma/GED or equivalent working knowledge. Based on area of assignment, must posses a valid driver's license and be eligible for coverage under the company auto insurance policy. Excellent organization, customer services and critical thinking skills, as well as excellent communication and human relation skills are required. Requires verbal and written communication skills with the ability to exercise tact and diplomacy in dealing with the public. Accurate keyboarding and ten key data entry skills are required. Must be able to effectively use all common office software applications, spreadsheets, databases and word processing. PREFERRED QUALIFICATIONS Basic knowledge of Patient Accounting Terminology, general insurance laws and guidelines, insurance coverage types, and hospital billing procedures preferred. One or more years of business or clerical office work experience. Additional related education and/or experience preferred. EEO Statement: EEO/Disabled/Veterans Our organization supports a drug-free work environment. Privacy Policy: Privacy Policy