Patient Finance Specialist, Emergency Room, Full Time, Days, Jackson South M.C.

Jackson Health • Miami, FL

128d

About The Position

The Patient Finance Specialist is responsible for timely and accurate patient registration. This role involves interviewing patients for all pertinent account information and verifying insurance coverage. The specialist performs bedside registration utilizing carts/computers on wheels, obtains patient demographic information along with insurance and financial information, and ensures the correct medical record number is assigned. The position requires notifying supervisors of any discrepancies, verifying insurance, obtaining pre-certification/authorization for services, and calculating patient liable amounts. The specialist also explains policies regarding services rendered, processes patient payments, secures necessary signatures, and assists patients with appointment scheduling. Additionally, the role involves producing paperwork for patient records, guiding patients to their destinations, and ensuring timely bed assignments, particularly in the Behavioral Health Center. The specialist must demonstrate service excellence and CARE values (Compassion, Accountability, Respect, and Expertise) while performing all other related job duties as assigned.

Requirements

• Generally requires 0 to 3 years of related experience.
• High school diploma is required.
• Bachelor's degree in a related field is strongly preferred.
• Ability to analyze, organize, and prioritize work accurately.
• Ability to communicate effectively in both oral and written form.
• Ability to handle difficult and stressful situations with critical thinking.
• Ability to understand and follow instructions.
• Ability to exercise sound and independent judgment.
• Knowledge and skill in the use of job-appropriate technology and software applications.
• Valid license or certification is required as needed.

Responsibilities

• Interviews patients and/or family members to obtain necessary account information.
• Performs bedside registration using carts/computers on wheels.
• Obtains patient demographic information and verifies insurance and financial information.
• Searches the Master Patient Index (MPI) and assigns the correct medical record number.
• Notifies supervisor of any discrepancies in medical record numbers.
• Verifies insurance and obtains pre-certification/authorization for services.
• Calculates and collects patient liable amounts.
• Explains policies regarding services rendered according to JHS collection policies.
• Processes all patient payments and issues receipts.
• Secures required signatures for treatments and release of medical information.
• Obtains copies of necessary patient identification and insurance cards.
• Scans all documents in a timely manner.
• Answers questions and explains policies clearly to patients.
• Assists patients with appointment scheduling as needed.
• Processes patient charts according to paperwork flow needs.
• Produces paperwork for distribution to appropriate departments.
• Aligns documents for establishing the patient's medical record and financial file.
• Welcomes patients and family members professionally.
• Contacts clinical staff for emergency medical needs.
• Informs patients of delinquent accounts and attempts to obtain payment.
• Checks for physician orders and attaches them to patient medical records.
• Guides patients to their destinations or refers them to Guest Services Representatives.
• Responsible for timely bed assignments based on established criteria.
• Works closely with unit managers to solve transfer issues.
• Reviews insurance contract matrix for appropriate hospital placement.
• Attends in-services presentations and completes mandatory education.
• Attends a minimum of 80% of scheduled staff meetings.
• Demonstrates behaviors of service excellence and CARE values.
• Performs all other related job duties as assigned.

What This Job Offers

• Job Type: Full-time
• Industry: Ambulatory Health Care Services
• Education Level: High school or GED