Health Services Assistant

Primary City/State: Tucson, Arizona

Department Name:

Work Shift: Day

Job Category: Clinical Care

The future is full of possibilities. At Banner Health, we’re excited about what the future holds for health care. That’s why we’re changing the industry to make the experience the best it can be. If you’re ready to change lives, we want to hear from you!

Recognized nationally as an innovative leader in health care, Banner Plans & Networks (BPN) integrates Medicare and private health plans to reduce healthcare costs while keeping our members in optimal health. Known for our innovative, collaborative, and team-oriented approach, BPN offers a variety of career opportunities and innovative employment options by offering remote and hybrid work settings.

As a Health Services Assistant, you will verify insurance eligibility, conduct outreach calls to our members to coordinate care after an inpatient hospitalization or emergency room discharge, and coordinate referrals to Care Management for patients following inpatient hospitalization or emergency room discharges. You will work closely with patients, providers, and insurance carriers to ensure timely access to services and continuity of care.

This position is hybrid in Tucson AZ. Your schedule will be Monday-Friday 9:00AM-5:00PM. CANDIDATES MUST RESIDE IN ARIZONA TO BE CONSIDERED FOR THIS ROLE.

POSITION SUMMARY

This position is responsible for optimizing the experience of patients and families who receive care within the hospital and ambulatory care setting. Effectively interfaces and collaborates with providers and staff to identify solutions to care coordination, involving all team members as needed. This position supports the multidisciplinary team with member navigational services through referral from the team or retrospectively from the payer.

CORE FUNCTIONS

1. Researches concerns and provides resolutions to patient’s issues and needs, in collaboration with all team members.
2. This position is responsible for on-going client data collection and documentation in the medical record. Engages the appropriate resources within the multidisciplinary team to achieve optimal results for the patient, family, and care givers.
3. Offers assistance with coordinating multiple appointments, utilizing the scheduling systems to ensure thorough communication across the multiple disciplines.
4. Provides a list of care gaps to the multidisciplinary team and works to coordinate to close gaps/issues. Bridges gaps between the member and the clinical team including but not limited to following up with members, asking about needs and obstacles, and addressing health literacy, cultural issues and social-class barriers.
5. Meets and accompanies the patient and family to their initial appointments with providers before and after acute and post-acute transition.
6. Establishes and promotes a collaborative relationship with physicians, payers, and other members of the health care team. Collects and communicates pertinent, timely information to payers and others to fulfill utilization and regulatory requirements.
7. Educates internal members of the health care team on care management and managed care concepts. Facilitates integration of concepts into daily practice.
8. Works independently to provide excellent patient care. Internal customers include patients, staff, and physicians. External customers include patient family and members of the community.

MINIMUM QUALIFICATIONS

High school diploma/GED or equivalent working knowledge.

Requires a knowledge of Medical terminology as normally obtained through the completion of , Medical Assistant Training, Patient Care Technician or Certified Nursing Assistant Training and 2 years of health care experience.

Requires excellent time management and problem-solving skills, ability to meet constantly shifting deadlines and timelines and excellent customer service and recovery skills.

PREFERRED QUALIFICATIONS

Bachelor’s degree in Social Work preferred.

Additional related education and/or experience preferred.

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EEO/Disabled/Veterans

Our organization supports a drug-free work environment.

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