Acute Patient Access Services Representative

Primary City/State:

Brush, Colorado

Department Name:

Patient Accounting-Hosp

Work Shift:

Varied

Job Category:

Revenue Cycle

Primary Location Salary Range:

$19.06 - $28.60 / hour, based on education & experience

In accordance with State Pay Transparency Rules.

Schedule: Thursday and Friday and Every other weekend 3:00pm to 12:30am; some holidays

Enjoy a flat rate $1/hour weekend and 18%-night shift differential when applicable.

Must be able to complete a 8-week paid training Monday - Friday 8:00am to 5:00pm

Nestled in the high plains of northeastern Colorado, Brush is full of small-town charm and rich history. State Wildlife areas and state parks offer hunting, wildlife viewing, fishing, hiking and water activities yea- round. In-town recreation includes golf, four local parks, an outdoor swimming pool, and a roller-skating rink.

Explore and excel. At Banner, health care is a team effort. One might be surprised by the number of people who work behind the scenes and play a critical role in ensuring the best care for our patients. Apply today.

East Morgan County Hospital is a 25-bed licensed critical access facility, level IV trauma center, offering a full array of health care services and two clinic locations: Banner Family Medicine Brush and Banner Health Clinic Fort Morgan. East Morgan County Hospital is in Brush, Colorado, 1-hour northeast of Denver. Situated in the agriculturally rich South Platte River valley, Brush is home to 5,500 people and serves over 15,000. The community thrives on its rural pace and charm and is revered for its “Homegrown Happiness!” Nestled in the wide-open plains of northeastern Colorado, Brush boasts a rich history and limitless outdoor recreation. With award-winning fishing and boating nearby, numerous parks and biking trails, some of the best of Colorado is here.

Accredited by The Joint Commission and Designated as a Pathway to Excellence hospital, East Morgan County Hospital brings together state-of-the-art technology and an exceptional team of health care professionals to provide the most compassionate, innovative, and personalized care possible. As a District owned hospital, operated by Banner Health, East Morgan County Hospital can provide the small-town, close-knit atmosphere all while having the resources of a large hospital system in the rural setting.

Position Summary

This position is the first point of contact at healthcare facilities and assists 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.

Core Functions

• 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).
• Proficiency with multiple services including, but not limited to inpatient, observation, emergency, obstetrics, surgery, imaging. This position may cover services 24/7.
• Demonstrates a thorough understanding of insurance guidelines for all services. Proficiently verifies, reads, and understands insurance benefits.
• 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.
• 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.
• 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.
• 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.
• 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.
• 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. Primary external customers include patients and their families, physician office staff and third-party payors.
  
  

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 one 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 or the Whole Health Clinic must possess an Arizona Fingerprint Clearance Card at the time of hire and maintain the card for the duration of their employment. Employees working at Banner MD Anderson on the Banner University Medical Center Phoenix campus must possess a State of Arizona Department of Public Safety Level One Fingerprint Clearance Card at the time of hire and maintain the card for the duration of their employment. This is a requirement of the Whole Family Counseling Program held at this specific facility.

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.

Anticipated Closing Window (actual close date may be sooner):

2025-04-16

EEO Statement:

EEO/Female/Minority/Disability/Veterans

Our organization supports a drug-free work environment.

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