Patient Finance Specialist, Full-Time, Days

Jackson Health•Miami, FL

11d•Onsite

About The Position

The Patient Finance Specialist is responsible for timely and accurate patient registration. This role involves interviewing patients to gather all pertinent account information and verifying insurance coverage. The specialist will also handle patient payments, explain financial policies, and ensure all necessary documentation is collected and processed.

Requirements

Ability to analyze, organize and prioritize work accurately while meeting multiple deadlines.
Ability to communicate effectively in both oral and written form.
Ability to handle difficult and stressful situations with critical thinking and professional composure.
Ability to understand and follow instructions.
Ability to exercise sound and independent judgment.
Knowledge and skill in use of job-appropriate technology and software applications.
High school diploma is required.
Valid license or certification as needed, based on the job or specialty.

Nice To Haves

Bachelor's degree in related field is strongly preferred.

Responsibilities

Interviews patients and/or family/relative or other responsible party at workstation or at bedside to obtain all necessary account information.
Performs bedside registration utilizing carts/computers on wheels.
Obtains patient demographic information with insurance and financial information, as warranted.
Searches MPI (Master Patient Index) completely and assigns the correct medical record number.
Notifies supervisor or designate of any medical record numbers.
Verifies all insurance and obtains pre-certification/authorization for services, as warranted.
Obtains proper authorization for treatment and approved codes from insurance carriers.
Assigns insurance plan accurately.
Calculates and collects patient liable amounts.
Explains policies regarding services rendered according to JHS collection policies.
Receives and processes all patient payments in accordance with JHS Collections Policy and Procedure-issues receipts and maintains the integrity of all payments.
Secures all required signatures for treatments, release of medical information, assignment of insurance benefits and payments of services from legally responsible parties.
Obtains copies of necessary patient identification and insurance cards.
Scans all documents timely.
Answers questions and explains policies clearly.
Assists patients and/or family/relative with appointment scheduling, as warranted.
Processes patient charts according to paperwork flow needs and established productivity standards.
Produces paperwork on each patient for distribution to appropriate departments.
Aligns pertinent documents for establishing the patients' medical record and financial file.
Welcomes patients and family members in a professional manner.
Contacts clinical staff for emergency medical needs and answers patient and visitor questions.
Informs patient or their representative of delinquent accounts and attempts to obtain payment.
Checks for physician orders and attaches them to the patient medical records to ensure that patient is receiving appropriate tests.
Guides patient to his/her destination or refers patient to an available Guest Services Representative.
Responsible for timely bed assignment to ensure patients are placed in appropriate units based on established criteria (Specific for Behavioral Health Center).
Works closely with unit managers to problem-solve issues related to transfers to or from external facilities (Specific for Behavioral Health Center).
Reviews insurance contract matrix to verify appropriate hospital placement in accordance with the patient's insurance plans (Specific for Behavioral Health Center).
Attends in-services presentations and completes mandatory education, as warranted.
Attends a minimum of 80% of scheduled staff meetings.
Demonstrates behaviors of service excellence and CARE values (Compassion, Accountability, Respect and Expertise).
Performs all other related job duties as assigned.