Patient Finance Specialist, Jackson Community Mental Health Center, Full-Time, Days

Jackson Health•Miami, FL

15d•Onsite

About The Position

The Patient Finance Specialist is responsible for timely and accurate patient registration. The role interviews patients and verifies insurance coverage, obtains demographic, insurance, and financial information, and supports patient account processing. The position is based at Jackson Community Mental Health Center in Opa Locka, Florida, and is scheduled full-time, Monday through Friday during the day.

Requirements

High school diploma required.
Generally requires 0 to 3 years of related experience.
Valid license or certification required as needed, based on the job or specialty.

Nice To Haves

Bachelor’s degree in a related field is strongly preferred.

Responsibilities

Interview patients, family members, or other responsible parties to obtain account information, at a workstation or bedside.
Perform bedside registration using carts or computers on wheels.
Obtain patient demographic, insurance, and financial information as warranted.
Search the Master Patient Index and assign the correct medical record number; notify a supervisor or designee about medical record number issues.
Verify insurance coverage and obtain pre-certification or authorization for services as warranted.
Obtain proper treatment authorizations and approved codes from insurance carriers, and accurately assign insurance plans.
Calculate and collect patient-liable amounts; explain service policies according to JHS collection policies.
Receive and process patient payments, issue receipts, and maintain payment integrity in accordance with JHS policy and procedures.
Secure required signatures for treatment, release of medical information, assignment of insurance benefits, and payment of services from legally responsible parties.
Obtain copies of necessary patient identification and insurance cards, and scan documents promptly.
Answer questions and explain policies clearly; assist patients or family members with appointment scheduling as warranted.
Process patient charts according to paperwork flow requirements and productivity standards; prepare and distribute paperwork to appropriate departments and organize documents for the medical record and financial file.
Welcome patients and family members professionally; contact clinical staff for emergency medical needs and answer patient and visitor questions.
Inform patients or representatives about delinquent accounts and attempt to obtain payment.
Check for physician orders and attach them to patient medical records to help ensure appropriate tests are received.
Guide patients to their destinations or refer them to an available Guest Services Representative.
Make timely bed assignments to ensure patients are placed in appropriate units according to established criteria.
Work with unit managers to resolve issues involving transfers to or from external facilities.
Review the insurance contract matrix to verify hospital placement according to patients’ insurance plans.
Attend in-service presentations, complete mandatory education as warranted, attend at least 80% of scheduled staff meetings, and demonstrate service excellence and CARE values.
Perform other related job duties as assigned.