[New Job Opening] Patient Access Services – Pre Services Authorization Representative job Vacancy in Los Angeles, CA


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Job Details:
Position Name :
Patient Access Services – Pre Services Authorization Representative
Los Angeles, CA
Job ID :
Description : Primary City/State:
Phoenix, Arizona
Department Name:
Centralized Pre-Regist-Corp
Work Shift:
Job Category:
Revenue Cycle
Primary Location Salary Range:
$16.24/hr – $24.35/hr, based on education & experience
In accordance with Colorado’s EPEWA Equal Pay Transparency Rules.
SHIFT: 8:30am-5:00am
This is an excellent opportunity for a customer obsessed individual, who is self-motivated & dependable. We are looking for an individual with excitement, energy, and engagement in a fast-paced, productivity based environment. As a department we strive to provide great customer service and offer our customers and patients the best possible experience!
The Patient Access Services Pre-Services Representative will following up on all scheduled encounters working to ensure appropriate insurance authorizations, ensuring that all patients are properly pre-registered and notified of insurance benefits, and calculating and collecting patient responsibility.
This can be a remote position if you live in the following states(s) only: AR, AZ, CA, CO, IA, ID, ND, NE, NV, TX, UT, WA, WI, WY,
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.
This position works to financially clear scheduled services prior to the date of service. This includes insurance eligibility, estimate creation, obtaining and/or validating authorizations as payer guidelines require and verifying demographics. This position also educates patient on insurance benefits, financial liability, and secures patient liability ahead of service.
1. Demonstrates a thorough understanding of insurance guidelines for scheduled services. Proficiently verifies, reads and understands insurance benefits, accurately creates patient estimates for services rendered using estimator tools, able to educate patient on their insurance benefits and estimate. Collects patient responsibility. Must be able to consistently meet monthly individual collection target as determined by management.
2. Demonstrates the ability to prioritize workload in order to accurately complete daily worklist. This may include working with dept./central scheduling, ordering provider and/or payer in order to fully clear a patient’s account prior to the date of service.
3. May develop payment plans for all patients that are not able to pay their full liability at the time of service. May obtain and/or validate authorizations for scheduled procedures.
4. Daily focus on attaining productivity standards, recommends new approaches for enhancing workflow, and/or patient experience and productivity.
5. Conducts internal/external customer interactions over the phone. Demonstrates clear 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.
6. Completes and/or attends training and education sessions, including facility department meetings within approved organizational guidelines and timeframes. Adheres to Banner Health’s organizational policies and procedures for relevant location and job scope.
7. Performs other duties as assigned by management.
8. Works independently under general supervision, leads and follows structured work, including resolving patient concerns. Knows when to escalate issues to leader in order to maximize customer experience. Must be able to learn and multitask through multiple applications in order to accomplish daily work list.
Performs all functions according to established policies, procedures, regulatory and accreditation requirements, as well as applicable professional standards. Provides all customers of Banner Health with an excellent service experience by consistently demonstrating our core and leader behaviors each and every day.
NOTE: The core functions are intended to describe the general content of and requirements of this position and are not intended to be an exhaustive statement of duties. Specific tasks or responsibilities will be documented as outlined by the incumbent’s immediate manager.
Requires knowledge as typically obtained through an Associate’s degree in Business, Hospital Administration or equivalent work experience normally demonstrated by two years in hospital Patient Registration/ Financial Services work.
Clear understanding of the impact financial counseling has on Revenue Cycle operations and financial performance. Excellent written, verbal communication and interpersonal skills. Demonstrated negotiation skills, ability to prioritize and manage multiple tasks simultaneously, and to effectively anticipate and respond to issues as needed in a dynamic work environment. Demonstrated ability to use PC based office productivity tools (e.g. Microsoft Outlook, Microsoft Excel) as necessary; general computer skills necessary to work effectively in an office environment. Dedication to treating both internal and external constituents as clients and customers, maintaining a flexible customer service approach and orientation that emphasizes service satisfaction and quality.
Work experience with the Company’s systems and processes is preferred. May have related experience with financial institution or background, CHAA certification, understanding of medical terminology, previous EMR experience preferred.
Additional related education and/or experience preferred.
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