Patient Access Services Representative

🔥 0 minutes ago

🌵 Arizona – Remote

🌵 Arizona – Remote

💵 $20 - $30 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

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Banner Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1999

🏥 Healthcare

⚕️ Healthcare Insurance

Healthcare • Healthcare Insurance

Banner Health is a leading healthcare system committed to making healthcare easier through comprehensive patient services and resources. They provide a safe place for care with services ranging from emergency and urgent care, imaging, and surgery centers to maternity and hospice care. Banner Health also offers telehealth options to ensure access to healthcare, regardless of location. They support athletes through Banner Orthopedics & Sports Medicine and have been recognized for exceptional patient care. With advanced digital tools, they aim to manage healthcare seamlessly for their patients.

📋 Description

• Obtain and complete insurance authorization requests • Verify and understand insurance benefits and validate authorization requirements • Verify patient insurance and accurately input information into systems • Document patient accounts thoroughly to maximize reimbursement and minimize denials/penalties • Contact and work regularly with patients, insurance companies, and providers • Meet monthly individual accuracy and productivity goals • Complete authorization initiation requests with payers for acute and ambulatory visits • Validate existing authorizations requested by providers • Use authorization submission tools, websites, and Host systems • Provide authorization numbers and patient demographic information to staff and billing • Explain referral processes to physicians and staff • Maintain records of referral activity and authorizations • Respond to provider orders for tests, procedures, and specialty visits • Obtain authorizations for single and recurring visits, verifying demographics, codes, dates of service, and clinical data • Stay current on payer requirements and third-party authorization submission software • Work independently from a remote location using structured routines • Prioritize work and ensure appropriateness and timeliness of patient care • Follow escalation protocols and coordinate with providers, scheduling departments, PAS leaders, and administrative groups • Perform other related duties, including cross-coverage in authorization-related areas

🎯 Requirements

• High school diploma/GED is required • Minimum of three years of experience in healthcare insurance and/or authorizations • Business skills and experience in the assigned work area • Detail oriented • Ability to maintain high productivity standard with minimal errors • Advanced abilities in common office software, word processing, spreadsheet, and database software • Ability to manage multiple tasks simultaneously with minimal supervision and work independently • Excellent organizational, human relations, and communication skills • Associate’s degree in Business Management or equivalent preferred • Certification in CRCR and/or CHAA preferred • Additional related education and/or experience preferred

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