Patient Access Services Financial Specialist Remote

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Good health care is key to a good life. We’re certified as a Great Place To Work® and are looking for professionals to help us make Banner Health the best place to work and receive care.

You have a place in the health care industry.  There’s more to health care than IV bags and trauma rooms. We support all staff members as they find the path that is right for them. If you’re looking to leverage your abilities – you belong at Banner Health.

Tucson is more than just a city—it’s a vibrant tapestry of culture, nature, and history. With over 350 days of sunshine a year, a thriving arts scene, world-renowned cuisine, and easy access to some of the most stunning desert landscapes in the Southwest, Tucson offers a unique blend of urban charm and outdoor adventure.

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We are proud to offer a comprehensive benefit package for all benefit-eligible positions. Benefits include health, dental, vision, 401(k) with company match, 403(b), and tuition aid. Additional coverage options are available to support everything that makes you, uniquely you. These include Pet Insurance, Medical and Financial wellness plans, ID theft protection, Life insurance and Legal coverage for extra security. Please visit our Benefits Guide for more information.

The BMT Specialist serves as a key partner to the Bone Marrow Transplant clinical team, ensuring patients are financially cleared and authorized for transplant-related services throughout their treatment journey. This role works closely with transplant coordinators, providers, nursing staff, and insurance payers to support timely access to care.

Primary Responsibilities:

• 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 ensure all payer requirements are met.
• Monitor patient accounts throughout the transplant process 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.

What to Expect:This position is highly specialized and heavily integrated with the clinical transplant team. The majority of the day is spent supporting transplant patients through insurance authorization management, coordinating with clinical staff, reviewing medical necessity requirements, and ensuring patients remain financially cleared for services from evaluation through post-transplant care.

Associate's Degree with a focus in social work, healthcare administration or finance, along with 3 years of experience in a hospital registration/financial services setting is required.

If no degree, you need 5 years of experience.

Acute Patient Access Training (first 4 weeks): Monday - Friday standard business hours at BUMC Tucson.

Schedule:

This position is 100% remote!

Monday - Friday 7:30am to 4:00pm; (NO WIFI, Ethernet Connection only) and a quiet work area/home office.

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POSITION SUMMARY
This position is responsible for providing personalized coordination, clarification and communication of all financial aspects of care continuum, including insurance and authorization verification, registration, financial counseling and claims research for Oncology. This position partners with the clinical care team to determine financial impact for the patient and serves as the primary contact for any financial questions related to a patient’s care across the entire continuum of their treatment, ensuring a seamless experience for the patient and their family.

CORE FUNCTIONS
1. Performs pre-registration/registration processes. Partners with the clinical care team to determine initial authorizations needed based on the predicted care treatment plan. Obtains patient insurance benefit information for all aspects of the treatment, including, but not limited to, inpatient and outpatient services, prescription drugs, and travel and housing, if necessary. Assesses need for alternative coverage sources.

2. Verifies insurance coverage and obtains authorizations and notifications throughout the patient’s treatment. Obtains all necessary signatures and documentation required by the patient’s insurance plan. Accurately and completely documents all information into the patient records system to ensure maximum reimbursement. Monitors and updates information regarding insurance data, authorizations, preferred providers and changes in patient’s treatment plan. Partners with the clinical care team and insurance provider to ensure continued coverage of patient’s care and maximum reimbursement and minimized financial impact to the patient.

3. Provides financial counseling to patients and their families and serves as the primary resource throughout the patient’s treatment. Discusses benefits and other financial issues with patients and/or family members during initial referral and during continuation of care. Advises patients on insurance and billing issues and options. Explains company financial policies and provides information as to available resources and avenues for alternative payment arrangements. Assists patients, families and team members in addressing insurance coverage gaps via alternative funding options.

4. Provides financial advocacy, assistance and support to patients and families, as needed. Assists patients who are un-insured to access other funding resources and completes required documents. Maintains current working knowledge of Medicare, Medicaid and other program benefits and criteria, particularly as they pertain to long-term care and low-income patients. May serve as a liaison between the facility and community in making community resources available to the patient and family.

5. Acts as a liaison between patient/PFS department/payer to enhance account receivables performance, resolve outstanding issues and/or patient concerns, and to maximize service excellence.

6. Calculates patient liability according to verification of insurance benefits, collects deposits and co-payments.

7. May provide leadership and training to other members of the financial team and serves as a resource for internal and external customers.

8. Works independently under general supervision, leads 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. This position is an integral part of the care team, as they serve as the primary contact for all financial aspects of the patient’s care, both for internal and external customers. Internal customers include all levels of the clinical care team, as well as other administrative support positions throughout the facility and organization. External customers include patients and their families, physician office staff and third-party payors.

MINIMUM QUALIFICATIONS

Requires knowledge as typically obtained through an Associate’s Degree, with a focus in social work, healthcare administration or finance.

Requires knowledge of medical terminology and an understanding of all common insurance and payor types, authorization requirements and alternative financial resources as typically obtained through a minimum of three years of diversified experience in a hospital Patient Registration/Financial Services setting. Must have highly developed interpersonal, communications and human relations skills. Must also possess accurate and efficient keyboarding skills, strong organizational and time management skills and flexibility in responding to multiple demands.

Employees working at Banner Behavioral Health Hospital, BTMC Behavioral, and BUMG, BUMCT, or BUMCS in a Behavioral Health clinical setting that serves children must possess an Arizona Fingerprint Clearance Card at the time of hire and maintain the card for the duration of their employment. An Arizona Criminal History Affidavit must be signed upon hire.

PREFERRED QUALIFICATIONS

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.

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