Senior Acute Patient Access Services Rep

Primary City/State:

Sun City, Arizona

Department Name:

Admin-Clinic

Work Shift:

Day

Job Category:

Revenue Cycle

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At Banner MD Anderson, patients experience customized, comprehensive and compassionate cancer care. We travel through the cancer journey with patients, supporting their unique medical and personal needs every step of the way. We believe patient care is most effective when it’s truly collaborative. Our evidence-based, multidisciplinary approach brings together physicians from all cancer specialties to provide highly coordinated and compassionate care.

The Senior Acute Patient Access Services Representative supports the MD Anderson Cancer Center.

You will be the first point of contact at healthcare facilities and assist 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. This position provides mentoring, training and offers on-going guidance as needed for a Patient Access team. Additionally, Senior Representatives will function as the primary resource/SME for team member workflow questions and concern

Schedule:  6:30 AM - 3:00 PM Monday - Friday, some Saturdays required

Location:  Banner Boswell 13041 N Del Webb BLVD Suite 200 Sun City AZ 85351

**All Acute Patient Access Services New Hires are required to attend New Hire Orientation & PAS New Hire and Systems Training.**

Acute Patient Access Training is generally the first 2-3 weeks but can vary and runs Monday - Friday standard business hours.

Banner Health’s premier West Valley Level I Trauma for adults and Tertiary Care destination for all ages. Banner Thunderbird Medical Center (BTMC) and Banner Children’s Hospital at Thunderbird provide a preferred destination for surgical, oncological, cardiovascular, neuroscience, orthopedic, pediatric, and women and infant services achieved through best-in-class 5-star CMS rating to provide patients with high quality, safe care for the best possible experience. Our campus is one of the largest campuses in the Banner network with over 3000 employees. BTMC was voted Best of the Best in 2023 by Banner Health out of 30 hospitals. This is the most prestigious award one of our largest hospitals can receive for consistently meeting our annual targets. If you would like to contribute to truly leading edge caring, we invite you to bring your experience and skills to Banner Thunderbird.

POSITION SUMMARY

This position is the first point of contact at healthcare facilities and assist 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. This position provides mentoring, training and offers on-going guidance as needed for a Patient Access team. Additionally, Senior Representatives will function as the primary resource/SME for team member workflow questions and concerns.

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. Assists in overseeing the workflow for the given shift. Acts as SME for PAS staff including disseminate and communicating education materials and updates. Assists with escalations as needed. Models Banner behaviors and values for the team. Primary external customers include patients and their families, physician office staff and third-party payors.

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.

SUPERVISORY RESPONSIBILITIES

DIRECTLY REPORTING

None

MATRIX OR INDIRECT REPORTING

None

TYPE OF SUPERVISORY RESPONSIBILITIES

None

Banner Health Leadership will strive to uphold the mission, values, and purpose of the organization. They will serve as role models for staff and act in a people-centered, service excellence-focused, and results-oriented manner.

PHYSICAL DEMANDS/ENVIRONMENT FACTORS

OE - Typical Office Environment: (Accountant, Administrative Assistant, Consultant, Program Manager)

Requires extensive sitting with periodic standing and walking.

May be required to lift up to 20 pounds.

Requires significant use of personal computer, phone and general office equipment.

Needs adequate visual acuity, ability to grasp and handle objects.

Needs ability to communicate effectively through reading, writing, and speaking in person or on telephone.

May require off-site travel.

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 three 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, BTMC Behavioral, and BUMG, BUMCT, or BUMCS in a Behavioral Health clinical setting that serves children must possess an Arizona Fingerprint Clearance Card at the time of hire and maintain the card for the duration of their employment. An Arizona Criminal History Affidavit must be signed upon hire.

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.

DATE APPROVED 05/11/2025

EEO Statement:

EEO/Disabled/Veterans

Our organization supports a drug-free work environment.

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