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Patient Access Services Financial Specialist
Banner Health. Review and verify insurance benefits for transplant services .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in insurance verification, authorization processes, and financial counseling within a healthcare setting. Proficient in collaborating with clinical teams and managing patient accounts to ensure compliance with payer requirements.
Highest-signal resume keywords
Insurance VerificationAuthorization ManagementFinancial CounselingMedical Terminology KnowledgeInterpersonal Communication Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Authorization Requirements KnowledgePatient Registration ProcessesKeyboarding SkillsOrganizational SkillsTime Management Skills
Soft Skills
Interpersonal SkillsCommunication SkillsFlexibilityProblem-Solving Skills
Certifications & Qualifications
Arizona Fingerprint Clearance CardArizona Criminal History Affidavit
Industry Keywords
Transplant ServicesPayer RequirementsFinancial ServicesHealthcare AdministrationSocial Work
About the role
Key responsibilities & impact- Review and verify insurance benefits for transplant services
- Obtain and maintain authorizations for transplant evaluations, treatments, admissions, donor services and follow-up care
- Collaborate with transplant coordinators and clinical teams to meet payer requirements
- Monitor patient accounts and resolve authorization or coverage barriers
- Communicate with insurance carriers regarding approvals, extensions, denials and appeals
- Maintain accurate documentation and comply with payer and organizational guidelines
- Serve as a resource for transplant authorization requirements and insurance-related questions
- Perform pre-registration and registration processes
- Obtain insurance benefit information and assess alternative coverage sources
- Verify coverage, obtain authorizations and document information in patient records
- Provide financial counseling and explain insurance, billing, financial policies and payment options
- Assist uninsured patients with funding resources and required documents
- Liaise between patients, the PFS department and payers to resolve issues and maximize reimbursement
- Calculate patient liability and collect deposits and co-payments
- Provide leadership and training to financial team members as needed
- Work independently in a fast-paced, high-volume environment while prioritizing patient care needs
- Complete four weeks of acute patient access training Monday through Friday during standard business hours at BUMC Tucson
Requirements
What you’ll need- Associate's Degree with a focus in social work, healthcare administration or finance, or 5 years of experience if no degree
- 3 years of experience in a hospital registration/financial services setting
- Knowledge of medical terminology
- Understanding of common insurance and payor types
- Knowledge of authorization requirements and alternative financial resources
- Highly developed interpersonal, communications and human relations skills
- Accurate and efficient keyboarding skills
- Strong organizational and time management skills
- Flexibility in responding to multiple demands
- Quiet work area/home office
- Ethernet connection only; no Wi-Fi
- Employees in specified Banner behavioral health settings serving children must possess an Arizona Fingerprint Clearance Card at hire and maintain it
- Arizona Criminal History Affidavit must be signed upon hire in specified Banner behavioral health settings
- Bachelor's degree in social work, healthcare administration or finance preferred
- Prior experience as a social worker or financial counselor preferred
- Additional related education and/or experience preferred
Benefits
Comp & perks- Health insurance
- Dental insurance
- Vision insurance
- 401(k) with company match
- 403(b)
- Tuition aid
- Pet insurance
- Medical wellness plans
- Financial wellness plans
- ID theft protection
- Life insurance
- Legal coverage