Banner Health

Financial Planning and Analysis

• Performs registration/check-in processes, including but not limited to performing data entry activities, providing patients with appropriate information and intake forms, obtaining necessary signatures and generating population health summary.
• Verifies insurance eligibility benefits for services rendered with the payors and documents appropriately. Assists in obtaining or validating pre-certification, referrals, and authorizations.
• Calculates and collects patient liability according to verification of insurance benefits and expected reimbursement. Explains and provides financial policies and available resources for alternative payment arrangements to patients and their families.
• Enters payments/charges for services rendered and performs daily payment/charge reconciliation in a timely and accurate manner. Balances cash drawer at the beginning and end of the day and prepares daily bank deposit with necessary paperwork sent to centralized billing for record purposes.
• Schedules office visits and procedures within the medical practice(s) and external practices as necessary. Maximizes reimbursement by scheduling patients in accordance with payor plan provisions. Confirms patient appointments for the following day as necessary and ensures patients are properly prepared for visits.
• Demonstrates proactive interpersonal communications skills while dealing with patient concerns through telephone calls, emails and in-person conversations. Optimizes patient flow by using effective customer service/communication skills by communicating to internal and external customers, care team, management, centralized services and HIMS.
• Assists in responding to requests for patient medical records according to company policies and procedures, and state and federal laws.
• Provides a variety of patient services to assist in patient flow including but not limited to escorting patients, taking vitals and patient history, assisting in patient treatment, distributing mail and fax information, ordering supplies, etc.
• Works independently under regular supervision and follows structured work routines. Works in a fast paced, multi-task environment with high volume and immediacy needs requiring independent decision making and sound judgment to prioritize work and ensure appropriateness and timeliness of each patient’s care. This position requires the ability to retain large amounts of changing payor information/knowledge crucial to attaining reimbursement for the services provided.

Patient Financial Services Representative, Pediatrics

Recruitment

• Evaluates patient’s functional abilities and limitations to determine appropriate intervention.
• Develops a plan of care and exercise goals, as ordered by physician or other referral source.
• Works alongside and receives guidance from other more experienced team members when working in phase I and II cardiac or pulmonary rehabilitation.
• May oversee phase III outpatient cardiac and pulmonary rehab independently.
• Implements individualized exercise plans based on patients’ physical and age-specific needs and abilities.
• Ensures that treatment plans are supported by standard practices and/or current literature.
• Reevaluates treatment plans, as needed, to ensure safety and maximum patient benefit.
• Educates patients, family, and other care providers post cardiac to promote patient participation and attainment of exercise program goals.
• Provides individualized home programs with clear instructions.
• Instructs patients and families in pathology, discharge guidelines, risk factor modification, and exercise individually and through classes for both cardiac and pulmonary patients.
• Under general supervision, documents patient treatment according to professional and regulatory standards.
• Follows plan of care to accomplish functions within established procedures and scope of practice.
• Confers with lead or supervisor on any unusual situations.
• Utilizes basic understanding of medical devices, equipment function and quality control measurements.
• Adheres to safety policies. Demonstrates the ability to trouble shoot and notifies appropriate personnel to maintain equipment performance.
• Maintains a safe environment for patients, staff and visitors.
• Complies with all ethical, legal and professional responsibilities. Maintains confidentiality of all patient information.

Clinical Exercise Physiologist I

Risk

• Serves as a subject matter expert in support of Risk Adjustment Factor (RAF) tools for Banner Medical Group.
• Coordinates the business design, testing and implementation of web-based RAF tools and reports in areas of expertise.
• Monitors and ensures tools are available post implementation.
• Responsible for the development and implementation of Risk Adjustment education and training for network physicians and practices, including documentation and coding requirements, HCCs, HEDIS quality ratings.
• Establishes and promotes a collaborative relationship with physicians, third party vendors, and other members of the health care team.
• Collects and communicates pertinent, timely clinical information to third party vendors and others to fulfill utilization and regulatory requirements.
• Assess accuracy and comprehensiveness of HCC recapture to ensure that diagnosis opportunities are identified timely and appropriately.
• Partners with Risk Adjustment resources to provide guidance on utilization of Risk Adjustment tools.
• Provides formal training and supports physicians and practices in the day to day utilization of Risk Adjustment tools throughout Banner Medical Group.

RN Population Health Risk Adjustment

Therapist

• Evaluates patient's functional abilities and limitations
• Establishes a plan of care and treatment goals
• Implements individualized treatment plan
• Documents according to professional practice guidelines
• Communicates pertinent patient information
• Demonstrates appropriate supervision and delegation of personnel

Physical Therapist, Home Care

• Administers occupational therapy treatment according to the plan of care established by the Occupational Therapist
• Implements individualized treatment plans and monitors ongoing effectiveness of treatment
• Documents communication with supervising Occupational Therapist and treatment results to physicians and interdisciplinary team
• Participates in discharge planning and provides ongoing education to caregivers
• Exhibits adaptability in assignments and participates in department/facility process improvement

Occupational Therapy Assistant, COTA – Home Care

• Administers physical therapy treatment according to the plan of care established by the Physical Therapist
• Implements individualized treatment plan with consideration to the patient's physical, social, spiritual, cultural, educational and age specific needs
• Provides skilled treatment in a safe manner
• Monitors ongoing effectiveness of treatment and collaborates with Physical Therapist in modifying the plan of care when indicated
• Identifies and prioritizes key limiting factors
• Participates in discharge planning
• Involves patient and family/caregiver in the treatment and decision making process
• Provides ongoing education to physician, nurse, patient, family/caregiver, and interdisciplinary team.

Physical Therapist Assistant, Home Health

• Perform registration/check-in processes, including but not limited to performing data entry activities, providing patients with appropriate information and intake forms, obtaining necessary signatures and generating population health summary
• Verify insurance eligibility benefits for services rendered with the payors and documents appropriately
• Assist in obtaining or validating pre-certification, referrals, and authorizations
• Calculate and collect patient liability according to verification of insurance benefits and expected reimbursement
• Enter payments/charges for services rendered and performs daily payment/charge reconciliation in a timely and accurate manner
• Schedule office visits and procedures within the medical practice(s) and external practices as necessary
• Demonstrates proactive interpersonal communications skills while dealing with patient concerns through telephone calls, emails and in-person conversations
• Work independently under regular supervision and follows structured work routines.

Patient Financial Service Representative, Float – Concussion Clinics

Program Manager

• Will support network performance by organizing, structuring and analyzing performance data to identify operational opportunities, trending data and developing reports that will be used in a variety of meetings.
• Will be responsible for creating solutions, not managing established processes.
• Provides oversight of the Care Transformation department initiatives, projects, communications and operational work that is provided by the Care Transformation department.
• Support leadership in development and implementation of processes to increase efficiency and effectiveness in achieving department and organizational goals.
• Serve as an example to peers for both behaviors and performance.
• Provides coaching, training, staff development, mentoring and overall support to assigned staff.
• Participation and responsibilities related to performance evaluation, performance improvement, coaching, training, mentoring, and time card processes.
• Provides collaborative approach with leadership, partner departments and contracted providers in leading this work.
• Create, develop, and manage communication materials, letters, content for provider newsletters, power point presentations, and other Care Transformation communication resources as required.
• Oversee, coordinate, and support provider engagement, and communications.

Care Transformation Program Manager

Insurance

• Following up with assigned payer for various denials, such as no authorization, eligibility denials, etc.
• Coordinate and facilitate patient billing and collection activities in assigned areas
• Work as a member of a team to ensure timely reimbursement for services
• Build strong working relationships with assigned business units, hospital departments or provider offices

Insurance Follow-up, Ambulatory Denials

Manager

• Provides, facilitates and supervises patient centered care and care coordination to ensure patient care needs are met while maintaining quality standards and regulatory compliance in a financially responsible manner.
• Serves as a resource to patients, families, physicians, and staff by providing hands on care, clinical support, managerial support, interpreting policies, and facilitating care.
• Hires, leads, mentors, develops, and evaluates staff in a manner that promotes engagement, productivity, and ensures competencies.
• Supervises and delivers care based on the best evidence available and may participate in research activities within clinical practice.
• Ensures effective use of resources, equipment and supplies.

Rehabilitation Manager

• Evaluate patient's functional abilities and limitations
• Determine if intervention is needed
• Establish a plan of care and treatment goals
• Collaborate with patient and family/caregiver when setting goals
• Implement individualized treatment plan with consideration to the patient's needs
• Document according to standards set by the department and regulatory agencies
• Communicate pertinent patient information
• Exhibit adaptability in assignments as it relates to caseload
• Demonstrate appropriate direction and delegation of personnel
• Participate in department/facility process improvements

Occupational Therapist – Home Care

• Responsible for the administration of the Hospitalist and Intensivist Compensation Plan Summaries
• Work collaboratively with key stakeholders, including Legal, HR, Payroll, and others
• Setup provider demographics, plan summaries, and compensation
• Provide analytical support for financial positioning and future growth of assigned area/region

Provider Compensation Analyst, Financial Analysis Consultant

Events

• Conducts focused surveillance for healthcare-associated infections (HAIs)
• Detects and records HAIs on a systematic and current basis
• Interacts with physicians, nurses, department managers, supervisors, and other professional and non-professional staff members
• Initiates epidemiological investigations of significant clusters of infections and single cases of unusual infection
• Assists with continuing infection control education

Infection Preventionist

Medical Billing and Coding

• Assist with the development of education/training materials
• Conduct and coordinate training and development of Health Information Management staff and other Banner staff as appropriate
• Create and maintain all department training materials, tools and/or records
• Conduct new hire skill assessments, department specific orientation, and initial training for work tasks and functions
• Provide onsite support of trainees and act as knowledge resource for all staff

Coder, Physician Educator

• Evaluates patient's functional abilities and limitations.
• Determines if intervention is needed.
• Establishes a plan of care and treatment goals.
• Completes comprehensive evaluation within the established time frame set by the department.
• Identifies and prioritizes key limiting factors.
• Establishes treatment goals that are functional, measurable, patient related and reflect the key limiting factors.
• Implements individualized treatment plan with consideration to the patient's physical, social, spiritual, cultural, educational and age specific needs.
• Provides skilled treatment in a safe manner.
• Assesses ongoing effectiveness of treatment and modifies plan of care as indicated.
• Documents according to standards set by the department and regulatory agencies.
• Communicates pertinent patient information to ensure the best possible follow through of care.
• Exhibits adaptability in assignments as it relates to caseload, scheduling, and staffing shifts.
• Demonstrates appropriate direction and delegation of personnel to achieve safe delivery of quality cost effective patient care.
• Participates in department/facility process improvements.