Patient Financial Specialist
Location: Gilbert Arizona
Description: Banner Gateway Medical Center is looking of Patient Financial Specialist right now, this occupation will be placed in Arizona. For complete informations about this occupation opportunity kindly read the description below. About Banner Gateway Medical Center
Experience innovative technology and exceptional opportunities for growth and development at Banner Health’s newest state-of-the-a! rt hospital, recognized by U.S. News and World Report as one of Phoenix’s Best Hospitals. Located near Phoenix in Gilbert, Ariz., Banner Gateway Medical Center offers 176 private rooms, eight operating suites, a 37-bed emergency department and shares a campus with the Banner MD Anderson Cancer Center. Key specialties include oncology, obstetrics, bariatric surgery, emergency and other services that focus on meeting the changing needs of the dynamic and growing community we serve. In fact, our 60-acre campus was built with room to triple in size. With state-of-the-art technology such as comprehensive electronic medical records, physician order entry, digital radiography and proprietary advanced patient monitoring, Banner Gateway provides you with the innovative resources you need to provide your patients with the best care possible.
About Banner MD Anderson Cancer Center
Located in Gilbert, Ariz. (the Phoenix Metro area) on the Banner Gateway Campus, the cente! r provides world-class care for oncology patients â€" both inp! atient and outpatient â€" and has also brought leading oncology programs to the Banner Gateway campus including Stem Cell Transplantation and comprehensive Head & Neck cancer care. . Our capabilities include three linear accelerator vaults, a brachytherapy vault, an advanced diagnostic imaging suite with PET/CT scan, 40 infusion bays, a cryopreservation lab and much more. Our inpatient medical oncology unit also incorporates a program that utilizes the electronic surveillance partnership in caring for the patient, where remote nurses have the ability to interact with patients via two way audio-video to assist the bedside nurse with patient care.
About Banner Health
Banner Health is a comprehensive, award-winning health system that includes 23 hospitals in seven western states (twelve in Arizona), primary care health centers, research centers, labs, physician practices and much more. Throughout our system, skilled, compassionate professionals use the latest tech! nology to change the way care is provided. We offer a choice of nursing career paths where you can leverage your abilities to make a real difference for your patients â€" and real change in the health care industry!
Job Summary:
This position is responsible for providing personalized coordination, clarification and communication of all financial aspects of care continuum, including insurance and authorization verification, registration, financial counseling and claims research. This position partners with the clinical care team to determine financial impact for the patient and serves as the primary contact for any financial questions related to a patients care across the entire continuum of their treatment, ensuring a seamless experience for the patient and their family.
Essential Functions
Performs pre-registration/registration processes. Partners with the clinical care team to determine initial authorizations needed based on the predicted ! care treatment plan. Obtains patient insurance benefit information for ! all aspects of the treatment, including, but not limited to, inpatient and outpatient services, prescription drugs, and travel and housing, if necessary. Assesses need for alternative coverage sources.
Verifies insurance coverage and obtains authorizations and notifications throughout the patients treatment. Obtains all necessary signatures and documentation required by the patients insurance plan. Accurately and completely documents all information into the patient records system to ensure maximum reimbursement. Monitors and updates information regarding insurance data, authorizations, preferred providers and changes in patients treatment plan. Partners with the clinical care team and insurance provider to ensure continued coverage of patients care and maximum reimbursement and minimized financial impact to the patient.
Provides financial counseling to patients and their families and serves as the primary resource throughout the patients treatment. Discusses benefi! ts and other financial issues with patients and/or family members during initial referral and during continuation of care. Advises patients on insurance and billing issues and options. Explains company financial policies and provides information as to available resources and avenues for alternative payment arrangements. Assists patients, families and team members in addressing insurance coverage gaps via alternative funding options.
Provides financial advocacy, assistance and support to patients and families, as needed. Assists patients who are un-insured to access other funding resources and completes required documents. Maintains current working knowledge of Medicare, Medicaid and other program benefits and criteria, particularly as they pertain to long-term care and low-income patients. May serve as a liaison between the facility and community in making community resources available to the patient and family.
Acts as a liaison between patient/PFS department/payer! to enhance account receivables performance, resolve outstanding issues! and/or patient concerns, and to maximize service excellence.
Calculates patient liability according to verification of insurance benefits, collects deposits and co-payments.
May provide leadership and training to other members of the financial team and serves as a resource for internal and external customers.
Minimum Qualifications
Requires knowledge as typically obtained through an Associates Degree, with a focus in social work, healthcare administration or finance. Requires knowledge of medical terminology and an understanding of all common insurance and payor types, authorization requirements and alternative financial resources as typically obtained through a minimum of three years of diversified experience in a hospital Patient Registration/Financial Services setting. Must have highly developed interpersonal, communications and human relations skills. Must also possess accurate and efficient keyboarding skills, strong organizational and time management ! skills and flexibility in responding to multiple demands.
Preferred Qualifications
Bachelors degree in social work, healthcare administration or finance preferred. Prior experience as a social worker or financial counselor preferred. Additional related education and/or experience preferred.
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If you were eligible to this occupation, please email us your resume, with salary requirements and a resume to Banner Gateway Medical Center.
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This occupation starts available on: Thu, 14 Nov 2013 02:42:21 GMT