Patient Finance Specialist, ED Registration, Full Time, Nights

Jackson Health•Miami, FL

6d•Onsite

About The Position

The Patient Finance Specialist is responsible for timely and accurate patient registration, interviewing patients for pertinent account information, and verifying insurance coverage. The role may involve registering patients at a workstation or bedside using carts or computers on wheels. It also includes explaining policies, processing payments, preparing and scanning documents, coordinating patient flow, and assisting patients and families with questions and directions. For Behavioral Health Center assignments, the role includes ensuring timely bed assignments based on established criteria, working with unit managers to resolve transfer issues, and reviewing insurance contract matrices to verify appropriate hospital placement. The position also requires attending in-service presentations and mandatory education, attending at least 80% of scheduled staff meetings, demonstrating the organization’s CARE values, and performing other related duties as assigned.

Requirements

High school diploma required.
Generally requires 0 to 3 years of related experience.
Ability to analyze, organize, and prioritize work accurately while meeting multiple deadlines.
Ability to communicate effectively orally and in writing.
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 using job-appropriate technology and software applications.
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 collect account, demographic, insurance, and financial information.
Search the Master Patient Index and assign the correct medical record number; notify a supervisor or designee of medical record numbers as required.
Verify insurance coverage, obtain pre-certification or authorization as warranted, obtain treatment authorizations and approved codes, and assign insurance plans accurately.
Calculate and collect patient-liable amounts; explain service and collection policies; process payments, issue receipts, and maintain payment integrity.
Obtain required signatures for treatment, release of medical information, assignment of insurance benefits, and payment of services from legally responsible parties.
Obtain copies of patient identification and insurance cards, scan documents promptly, and answer questions clearly.
Assist patients or family members with appointment scheduling when warranted.
Process patient charts according to paperwork flow needs and productivity standards; prepare paperwork for appropriate departments and organize documents for medical and financial records.
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 ensure patients receive appropriate tests.
Guide patients to their destinations or refer them to an available Guest Services Representative.
For Behavioral Health Center assignments, ensure timely bed assignments based on established criteria, collaborate with unit managers to address external-facility transfer issues, and review insurance contract matrices to verify appropriate hospital placement.
Attend in-service presentations and complete mandatory education as warranted; attend at least 80% of scheduled staff meetings.
Demonstrate service excellence and CARE values: Compassion, Accountability, Respect, and Expertise.
Perform other related job duties as assigned.