Patient Access Pre-Service Representative

Banner Health

Job Overview

Location

Indiana, USA

Job Type

Full-time

Full Job Description

📋 Description

• As a remote Patient Access Pre-Service Representative at Banner Health, you will be at the forefront of our patient experience, playing a critical role in ensuring a seamless and positive journey for individuals scheduled for outpatient procedures.
• Your primary responsibility will be to meticulously pre-register patients, a crucial step that sets the tone for their entire interaction with Banner Health.
• This involves a deep dive into verifying insurance information, a task requiring precision and a thorough understanding of various insurance plans and their intricacies.
• You will be instrumental in creating accurate patient estimates, providing clear financial projections that empower patients with knowledge about their out-of-pocket expenses.
• A significant aspect of your role will be dedicated to financial counseling, where you will guide patients through their insurance benefits, explain their financial liabilities, and discuss payment options in compliance with regulations like the No Surprise Billing Act.
• Your ability to collect patient responsibility prior to service is vital for both the patient's financial clarity and the organization's revenue cycle efficiency.
• You must possess exceptional customer service skills, as you will be one of the first points of contact for our patients, shaping their initial impression of Banner Health.
• De-escalation techniques and the ability to maintain a positive and empathetic demeanor are essential, particularly when addressing patient concerns or navigating complex financial discussions.
• This role is ideal for a customer-obsessed individual who is highly self-motivated, dependable, and thrives in a fast-paced, productivity-driven environment.
• We are looking for someone with enthusiasm, energy, and a genuine engagement in providing outstanding service.
• Your daily worklist will require you to prioritize tasks effectively, ensuring that all pre-registration and financial clearance activities are completed accurately and on time.
• You will collaborate with various departments, including scheduling, ordering providers, and payers, to resolve any outstanding issues that may impede patient clearance before their scheduled service date.
• A key function of this role is to develop payment plans for patients who are unable to meet their full financial obligations at the time of service, offering flexible solutions.
• You may also be responsible for obtaining and validating necessary authorizations for scheduled procedures, ensuring all administrative requirements are met.
• A strong focus on achieving individual productivity standards is expected, and you will be encouraged to recommend new approaches for enhancing workflow and improving the overall patient experience.
• Your interactions with patients will be primarily over the phone, demanding clear, concise, and compassionate communication.
• You will be expected to demonstrate a comprehensive understanding of insurance guidelines relevant to scheduled services, enabling you to accurately interpret benefits and explain estimates.
• Continuous learning is a must; you will complete and attend training and education sessions to stay abreast of organizational policies, procedures, and industry best practices.
• You will work independently under general supervision, following structured workflows while also demonstrating the initiative to resolve patient concerns independently.
• Knowing when to escalate issues to a leader is crucial for maximizing customer satisfaction and ensuring efficient problem resolution.
• The ability to learn and multitask across multiple applications is essential for efficiently managing your daily workload.
• This position requires a dedication to treating all constituents, both internal and external, as valued clients, maintaining a flexible and service-oriented approach that prioritizes satisfaction and quality.
• You will contribute to the overall financial health of the organization by ensuring patients are financially prepared for their services, thereby minimizing revenue cycle disruptions.
• Your role is pivotal in upholding Banner Health's commitment to providing high-quality, accessible healthcare by removing financial barriers and fostering trust with our patient community.
• Embrace the opportunity to make a tangible difference in patients' lives by providing them with the information and support they need to navigate their healthcare journey with confidence.
• This is more than just a job; it's a chance to build a rewarding career within a Great Place To Work® Certified™ organization that values its employees and their contributions.

🎯 Requirements

• Minimum of 1-2 years of related insurance and/or customer service experience.
• High school diploma or GED.
• Excellent customer service and interpersonal skills, both verbal and written.
• Demonstrated ability to use PC-based office productivity tools (e.g., Microsoft Outlook, Microsoft Excel) and general computer skills.

🏖️ Benefits

• Competitive hourly pay rate ($18.02 - $27.03/hour, based on location, education, & experience).
• Remote work opportunity within specific states (AZ, CA, CO, NV & WY).
• Great Place To Work® Certification™ signifies a positive and supportive work environment.
• Opportunity for career growth and development within Banner Health.

Skills & Technologies

Remote

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Banner Health

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About Banner Health

Banner Health is a nonprofit health system operating hospitals, clinics, and specialized care facilities across six western U.S. states. Founded in 1999 through mergers, it delivers acute care, behavioral health, emergency, rehabilitation, and long-term services. The organization also runs Banner Health Network, Medicare Advantage plans, and conducts clinical research.

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