Primary City/State:

Arizona, Arizona

Department Name:

Utilization Mgmt

Work Shift:

Day

Job Category:

Administrative Services

Great careers are built at Banner Health. We understand that talented professionals appreciate having options. We are proud to offer our team members many career and lifestyle choices including remote work options. Apply today, this could be the perfect opportunity for you.

Arizona is a year-round destination. Sunny skies and low humidity prevail 300 days a year across the state. From awesome natural wonders to culinary treats, tribal lands, vibrant cities, world-class resorts, renowned golfing and historic Western towns, there are some truly breathtaking moments to be had in the Grand Canyon State.

As a Business Support Assistant, you would manage your own queue which consists of members who are admitted for delivery and newborns admitted to the nursery. Once a case is received in the queue, you would verify insurance eligibility, review orders for admission to inpatient hospital, complete a template in the documentation system, and issue an approval letter. These cases would continue to be followed until the member is discharged or until criteria is met for reassignment to an RN. This role requires the ability to work independently, some critical thinking skills, and the ability to follow established processes to meet compliance standards. This is a very heavy computer based role, with a lot of chart reviews. This is a busy role where you will process 600-700 authorizations a month. The schedule is Monday - Friday 8AM-5PM with slight flexibility and you will work remotely.

Banner Health has been recognized by Becker’s Healthcare as one of the 150 top places to work in health care. In addition, we recently made Newsweek’s list of America’s Greatest Workplaces 2023 for Diversity. These recognitions reflect Banner Health's investment in team members' professional development, wellness benefits, and continued education. It highlights our commitment to advocating for diversity in the workplace, promoting work-life balance, and boosting employee engagement.

Banner Health Network (BHN) is an accountable care organization that joins Arizona''s largest health care provider, Banner Health, and an extensive network of primary care and specialty physicians to provide the most comprehensive healthcare solutions for Maricopa County and parts of Pinal County. Through BHN, known nationally as an innovative leader in new health care models, insurance plans and physicians are coming together to work collaboratively to keep members in optimal health, while reducing costs.

POSITION SUMMARY
This position provides administrative services and assistance requiring occasional discretion and judgment. Coordinates a unique set of processes and/or services for an assigned area such as contracting, claims, sales, recruitment, services or billing.
CORE FUNCTIONS
1. Provides administrative and customer or vendor services in assigned area. This may include performing business support functions and related administrative tasks to support a program or process.
2. Reviews and/or audits documents, forms or invoices for appropriateness/accuracy. Initiates corrective action, as appropriate.
3. Corresponds with customers, patients, potential candidates, and vendors using defined formats and procedures, via verbal, electronic and written communications.
4. Maintains records and/or files for assigned area. Ensures appropriate documentation is timely and accurately entered into departmental application.
5. As assigned, prepares, collates, and distributes various reports in a timely and accurate manner. May complete or handle recurring department projects or one-time projects, as directed by supervisor.
6. May maintain supply inventories by checking stock to determine inventory level, anticipating needed supplies, placing and expediting orders for supplies and verifying receipt of supplies.
7.Works independently under general supervision. Represents the company as a primary point of contact to outside entities such as insurance claimants, patients, service providers, community agencies, vendors, etc.
MINIMUM QUALIFICATIONS

Requires a high school diploma or equivalent education and two or more years administrative work experience in a related area. Employees working at Banner Behavioral Health Hospital must possess an Arizona Fingerprint Clearance Card at the time of hire and maintain the card for the duration of their employment.
Works independently under general supervision. Represents the company as a primary point of contact to outside entities such as insurance claimants, patients, service providers, community agencies, vendors, etc. Must have the ability to follow oral and written directions as they relate to the functions listed above. Must have excellent oral, written and interpersonal communication skills to effectively interact with departmental personnel, assist customers with inquiries, schedule meetings and appointments, as well as, provide assistance with incoming telephone calls and walk-ins. Requires the ability to work effectively with common office software, including spreadsheets and word processing. Must have the ability to organize, prioritize and multi-task workload in a fast paced environment and maintain a professional manner.
PREFERRED QUALIFICATIONS
Additional related education and/or experience preferred.

EOE/Female/Minority/Disability/Veterans

Our organization supports a drug-free work environment.

Privacy Policy