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About the Role

This position is responsible for providing personalized coordination, clarification, and communication of all administrative aspects of care, including patient needs assessments, insurance and authorization verification, registration, documentation management, and appointment scheduling. This role partners with the clinical care team to ensure a seamless patient and family experience across the entire continuum of treatment and assists with providing resources to help patients maintain optimal care.

Responsibilities

Performs patient intake process, which may include pre-registration/registration.
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.
Answers questions regarding the authorization process and supplies information to providers, patients, and third-party payors.
Acts as a resource for insurance coverage, obtaining authorizations and notifications throughout the patient’s treatment.
Obtains all necessary signatures and documentation required by the patient’s insurance plan.
Accurately and completely documents all information into the patient records system.
Monitors and updates information regarding insurance data, authorizations, preferred providers, and changes in patient’s treatment plan.
Partners with the clinical care team and insurance provider to ensure continued coverage and maximum reimbursement.
Provides administrative support in maintaining materials such as documents, proposals, routine correspondence, and spreadsheets.
Composes and prepares routine reports.
Maintains records in a variety of business software and database applications for electronic medical records, billing, and data management.
Schedules physician appointments, tests, procedures, and surgeries.
Provides patients with necessary preparation instructions.
Prepares, processes, and manages patient documentation to the department database.
Acts as a liaison between the patient, billing department, and payor to enhance account receivables and resolve outstanding issues.
Optimizes patient experience by using effective customer service.
Communicates continually with patients, other departments, referral networks, and providers.
Uses discretion and is attentive to issues of customer confidentiality.
Demonstrates skills in proactive resolution and attempts to resolve scheduling conflicts.
Manages the medical record for the assigned area, including coordination with hospitals, practice offices, and other ancillary services to obtain needed records.
Responds to patient referral requests for tests, procedures, and specialty visits.
Follows guidelines and may assist in developing procedures to ensure medical records are in compliance with all state and federal laws.
Reconciles charge tickets, identifying incomplete tickets, missing charge codes, or missing diagnosis codes.
Notifies clinical staff as needed.
Works independently under general supervision, following established procedures.
Uses knowledge and problem-solving skills to work independently in a clinic/physician practice environment.
Ensures efficient coordination of administrative functions supporting patient needs assessments, insurance and authorization verification, registration, documentation management, financial counseling, and appointment scheduling.
Assists with cross-over and support to other departments as required.

Requirements

High school diploma/GED or equivalent working knowledge.
Three or more years of experience working in a hospital or medical office.
Knowledge of medical terminology.
Ability to work under minimal supervision and make independent decisions using good judgment.
Excellent communication, human relations, attention to detail, and organizational skills.
Highly developed interpersonal relations and process coordination skills.
Knowledge of payer contract terms and processes.
Ability to perform basic math functions.
Ability to handle confidential information and sensitive issues.
Ability to work effectively with common office software and hospital software for intake, updates to patient medical history, scheduling, and billing.
Employees working 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.

Skills

Medical terminology
Basic math functions
Common office software
Hospital software
Scheduling software
Billing software
Customer service
Interpersonal relations
Process coordination
Attention to detail
Organizational skills

Location

Gilbert, Arizona

Work Type

Day Shift

Experience Level

3+ years

Education Level

High school diploma/GED

About the Company

Those who have joined the Banner mission come from all walks of life, united by the common goal: Make health care easier, so life can be better.
Experience innovative technology and exceptional opportunities for growth and development at Banner Health's state-of-the-art hospital Banner Gateway Medical Center.
Banner Gateway provides comprehensive electronic medical records, physician order entry, digital radiography, and proprietary advanced patient monitoring.
Banner Gateway Medical Center offers 286 private rooms, 13 operating suites, a 46-bed emergency department and shares a campus with the Banner MD Anderson Cancer Center.
Banner Gateway Medical Center's WIS and NICU services support an average of 4,000 deliveries per year.
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.
Banner MD Anderson Cancer Center provides world-class care for oncology patients - both inpatient and outpatient.
Banner MD Anderson Cancer Center has brought leading oncology programs to the Banner Gateway campus including designation as a Stem Cell Transplant Center of Excellence and comprehensive Head & Neck cancer care.
Banner MD Anderson Cancer Center's capabilities include five linear accelerator vaults, a brachytherapy vault, an advanced diagnostic imaging suite with PET/CT scan, more than 70 infusion bays, a cryopreservation lab, and much more.
The inpatient medical oncology unit incorporates a program that utilizes 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.

Equal Opportunity

EEO/Disabled/Veterans
Our organization supports a drug-free work environment.