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Primary City/State:Phoenix, ArizonaDepartment Name:PFS Cash ApplicationsWork Shift:DayJob Category:Revenue Cycle
Hybrid role, this role will be covering for the in-office clerk, so if clerk is on vacation or calls in sick this position will need to work in office with little to no notice.
POSITION SUMMARYResponsible for auditing and coordinating the processing of all refunds to patients, insurance companies, government programs, clients, and other intercompany accounts and as well as bad debt recovery. Research all accounts, cross-referencing to update addresses, insurance information, and validate all transfers and balances to ensure proper adjudication of funds to reduce bad debt and credit balances. Prepares all daily refund reports and monthly refund reports. Prepares bad debt recovery reports daily and faxes to AMCA. Requires ability to interact with all levels of personnel. Performs all functions according to established policies, procedures, regulatory and accreditation requirements, as well as applicable professional standards.CORE FUNCTIONS
Sort, process and audit all appropriate paperwork for Insurance, government, patient, and Non-A/R refunds including researching and corresponding on missing payments, misdirected and unidentified payments, returned refunds and maintaining z accounts.
Assist in processing and editing for posting cash, insurance explanation of benefits or explanation of payment.
Maintain and reconcile daily spreadsheet of refunds, collections, and A/R postings. Distribute daily summary report of refunds to Supervisor.
Assist with internal audits and refunds, which comply with quality controls, checks and balances in accordance with departmental policies, procedures, and all applicable laws and regulations. Interpret and resolve written and phone correspondence involving credit balances, transfers of insurance, client, or patient payments and/or information.
Produce month end spreadsheet and supplemental summary reports to facilitate Revenue reporting and bank statement reconciliation.
Maintain and process credit reports for non-contracted insurance, government, patient bill codes, and bad debt recovery including daily notification to collection agency.
KNOWLEDGE, SKILLS AND ABILITIES
Proficient in Excel
Critical Thinking
Self-motivation
Good time management
MINIMUM QUALIFICATIONS
High School diploma, GED, or the equivalent of 2 years work experience in a Medical Accounts Receivable Department with the ability to interpret medical explanation of benefits.
Good telephone, written and verbal skills.
Also requires excellent organizational skills and basic Microsoft Excel Skills.
PREFERRED QUALIFICATIONS
Previous Refund and/or Credit Balance experience
Identification of both patient and insurance refunds
Accurate typing skill of 45 WPM and 6,500 10-keystrokes per hour.
Additional related education and/or experience.
EOE/Female/Minority/Disability/Veterans (https://www.bannerhealth.com/careers/eeo)Our organization supports a drug-free work environment.Privacy Policy (https://www.bannerhealth.com/about/legal-notices/privacy)Banner Health is one of the largest, nonprofit health care systems in the country and the leading nonprofit provider of hospital services in all the communities we serve. Throughout our network of hospitals, primary care health centers, research centers, labs, physician practices and more, our skilled and compassionate professionals use the latest technology to make health care easier, so life can be better. The many locations, career opportunities, and benefits offered at Banner Health help to make the Banner Journey unique and fulfilling for every employee.EOE/Female/Minority/Disability/VeteransBanner Health supports a drug-free work environment.https://www.bannerhealth.com/careers/eeo
Full-time