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- Patient Access Representative
- Clinic Patient Access Representative
- Patient Access Scheduling Representative
- Clinical Patient Access Representative
- Remote Patient Access Coordinator
- Remote Patient Access Specialist
- Patient Access Services Representative
- Patient Authorization Representative
- Patient Accts Representative Patient Access
- Associate Patient Access Services Representative
Patient Access Services Authorization Representative Remote
Company | Banner Health |
Address | , Phoenix, 85012, Az |
Employment type | FULL_TIME |
Salary | |
Expires | 2023-07-23 |
Posted at | 11 months ago |
Primary City/State:
Phoenix, ArizonaDepartment Name:
Rev Cycle Ambulatory ImagingWork Shift:
DayJob Category:
Revenue CycleA rewarding career that fits your life. 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. If changing health care for the better sounds like something you want to be part of, apply today.
The Authorization team services both Banner and Community providers. They specialize in obtaining outpatient radiology authorizations for services performed at Banner Imaging sites.
Schedule Details: 90 day remote training schedule Monday - Friday 8:00am - 4:30pm AZ time. After 90 day training schedule will be Monday - Friday 9:00am - 5:30pm AZ time.
This can be a remote position if you live in the following states only: AK, AR, AZ, CA, CO, GA, FL, IA, ID, IN, KS, KY, LA, MI, MO, MN, MS, NY, NC, ND, NE, NV, OH, OK, OR, PA, SC, TN, TX, UT, VA, WI, WA, & WY
POSITION SUMMARY
This position performs insurance verification and authorization functions that support Patient Access Services and ensures compliance with both department standards and billing requirements. This position requires the ability to retain large amounts of changing payor information/knowledge crucial to attaining reimbursement for the services provided. This position is expected to reduce authorization-related initial denials/write-offs.
CORE FUNCTIONS
1. Uses department procedures and new hire training to accurately complete authorization initiation requests with payers for all service lines and validates existing authorizations requested by providers. Completes authorization initiation for acute and ambulatory visits. Utilizes standard authorization submission tools, websites, and documents authorization updates in Host systems.
2. Provides necessary information regarding authorization numbers and patient demographic information to appropriate staff, including billing. Provides information about the referral process to physician and staff. Documents and maintains records of all referral activity and authorizations in appropriate Host fields. Refers encounters for peer review to substantiate ordered procedures.
3. Responds to “provider orders” for tests, procedures, and specialty visits. Obtains authorizations for single and/or reoccurring visits required by various payers, including verification of patient demographic information, codes, dates of service, and clinical data. Representatives will stay current on payor requirements and utilization of third-party authorization submission software to complete authorizations.
4. Works independently from a remote location and follows structured work routines. Works in a fast-paced environment requiring independent decision making and sound judgment to prioritize work and ensure appropriateness and timeliness of each patient’s care.
5. Follows escalation protocols for accounts not meeting authorization standards by working with the ordering provider, scheduling departments, PAS leaders, and administrative groups for resolution in all acute, ambulatory, Banner Imaging, and Oncology service lines.
6. Performs other related duties as assigned. This may include cross-coverage in other authorization-related areas.
MINIMUM QUALIFICATIONS
High school diploma/GED is required.
Requires minimum of three years of experience in healthcare insurance and/or authorizations.
Certification for CRCR required within one year of hire.
Business skills and experience in the assigned work area are required. Must be detail oriented. Must be able to maintain high productivity standard with minimal errors. Advanced abilities in the use of common office software, word processing, spreadsheet, and database software are required. Requires the ability to manage multiple tasks simultaneously with minimal supervision and to work independently. Excellent organizational skills, human relations, and communication skills required.
PREFERRED QUALIFICATIONS
Associate’s degree in Business Management or equivalent preferred.
Certification for CHAA is preferred.
Additional related education and/or experience preferred.
EOE/Female/Minority/Disability/Veterans
Our organization supports a drug-free work environment.
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