Acute Patient Access Services Representative

Primary City / State :

Sterling, Colorado

Department Name :

Patient Accounting-Hosp

Work Shift : Job Category :

Job Category : Revenue Cycle

Revenue Cycle

Primary Location Salary Range :

$18.69 - $28.03 / hour, based on education & experience

In accordance with State Pay Transparency Rules.

Schedule : Monday - Friday 8 : 00am to 12 : 00pm

Must be able to complete a 4-week paid training Monday - Friday 8 : 00am to 5 : 00pm)

Good health care is key to a good life. At Banner Health, we understand that, and that's why we work hard every day to make a difference in people's lives.

Do you like the idea of making a positive change in people's lives - and your own? If so, this could be the perfect opportunity for you.

The largest city in the northeastern part of the state, Sterling is a farm and ranch community with deep roots on the Colorado prairie.

Sterling's laid-back lifestyle makes it easy to explore a variety of outdoor and cultural activities, from boating, fishing and swimming in North Sterling State Park, to hiking, biking, golf, hunting-and-shooting sports or admiring unique public art.

Since 1938, Sterling Regional MedCenter has been the center of healthcare excellence in Northeast Colorado providing care for more than 20,000 members in Logan County, and over 50,000 people in its larger market.

Sterling Regional MedCenter is licensed for 25 beds with both Medical / Surgical and Intensive Care Units, as well as full Women and Infant Services.

For obstetrics, Sterling utilizes a computerized intelligent OB program designed to reduce the chance of complications during labor.

As a level III trauma designated hospital, Sterling has 24 / 7 coverage for Emergency Medicine, Anesthesia, General Surgery, Orthopedic Surgery, Imaging, Family Medicine / Peds, and Rehabilitation.

Sterling boasts cutting edge technology facilitating telehealth access for sub-specialty and tertiary services and state-of-the-art equipment in Imaging, Laboratory, Operating Suites, Emergency Department, and Inpatient Units.

The hospital continues to invest facility upgrades and new equipment.

Attached to the hospital is the David Walsh Cancer Center, which provides both Medical and Radiation Oncology, with a beautiful infusion center and new linear accelerator.

Sterling Regional is the only rural hospital in Colorado with a linear accelerator. In addition, Sterling Regional MedCenter is closely integrated with our Family Medicine and Surgical Specialty Clinics and the hospital and clinics are part of a 2-year, rural training track residency program affiliated with the University of Northern Colorado.

Lastly, Sterling Regional MedCenter is one of Logan County's largest employers with approximately 300 employees and more than 20 physicians representing ten specialties and has been voted Best Employer in Northeastern Colorado for three years in a row.

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.

Anticipated Closing Window (actual close date may be sooner) :

2024-09-18

EOE / Female / Minority / Disability / Veterans

Our organization supports a drug-free work environment.

Privacy Policy