A 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.
Do you like problem solving and working in a tight knit, fast pace Corporate department in the Health Care industry? If you have a background in Physician/Clinic Expected Reimbursement.....this job is for you!
Your pay and benefits are important components of your journey at Banner Health. Banner Health offers a variety of benefits to help you and your family. We provide health and financial security options so you can focus on being the best at what you do and enjoying your life.
Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care.
POSITION SUMMARY This position is responsible for writing and implementing region-wide policies and procedures as needed when identified through contract and government payer changes. Changes must be reflected properly in the system to ensure accurate billing. This position also provides support for the expected reimbursement process via education to all facilities and data system support.
CORE FUNCTIONS 1. Develops and communicates policies and procedures pertaining to changes for contract and government payers. This would include information received from the payers, pricing master revisions and changes resulting from operations, charge reviews, audits, and patient account denials.
2. Provides timely contract and government payer changes/information to facility personnel across the region. Ensure the necessary changes have been coordinated with information technology.
3. Provides the educational tools and facilitate education sessions needed for facilities to comply with contract and government payer changes.
4. Develops and maintains the contract modeling software system. This would involve interpreting and entering into the contract modeling system all contract rules and payment terms for all the various third part payers. The rules and specific payment terms would be those negotiated and updated by the managed care department so that the organization receives the proper payment from all third party payers.
5. This position manages multiple complex contracts across the region often requiring research as well as involving multiple facilities. Has freedom to determine how to best accomplish functions within established procedures. Confers with supervisor in any unusual situations. This position interacts with various departments across the region.
MINIMUM QUALIFICATIONS Requires a Bachelor's degree or equivalent experience in finance, healthcare or related field.
Must possess a strong knowledge of healthcare patient billing typically achieved with two to four years healthcare patient billing experience and experience with healthcare data systems, or a combination of education and experience. Must have technical computer knowledge of the reimbursement data systems as well as knowledge of the company's patient account process.
Must possess the ability to interpret policy and procedures. Must have excellent organizational and communication skills as well as the ability to maintain highly confidential data and demonstrate an understanding of contracts.
PREFERRED QUALIFICATIONS Additional related education and/or experience preferred.
What might draw you to Banner Health? A great health care career, of course—and a great place to live, no matter what stage of life you’re in. With facilities across the West, there is a health care career for everyone, from big city living in the Phoenix area to friendly small towns in the mountains and plains. As one of the largest nonprofit health systems in the country, Banner Health offers both the stability that comes with success and the possibility of exploring new areas of the country. If you’re looking to be a key contributor to a forward-looking organization, you’ll experience a wide variety of professional advantages:
Our expansive system offers you an unmatched variety of clinical settings – from large urban trauma center to small rural hospital, ambulatory to home health.
Our commitment to healthcare innovation means you always have the latest technologies at your fingertips to help you provide the finest care possible.
The size, success and growth of our system provide you with the stability and options to pursue your desired career path.
Competitive compensation and comprehensive benefits offer you options to complement your unique needs.