Jackson West Medical Center

Jackson Health•Miami, FL

2d•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 explain hospital policies regarding services, process payments, secure necessary signatures, and maintain the integrity of all payments received. Additionally, the role requires scanning documents, answering patient questions, assisting with appointment scheduling, and producing paperwork for distribution to appropriate departments. The specialist will also be responsible for welcoming patients and family members professionally, contacting clinical staff for emergency medical needs, and informing patients about delinquent accounts to attempt payment collection. For specific units like the Behavioral Health Center, responsibilities may include bed assignment, working with unit managers on transfers, and reviewing insurance contract matrices for appropriate hospital placement. The role also requires attending in-service presentations, completing mandatory education, and demonstrating behaviors of service excellence and CARE values.

Requirements

Generally requires 0 to 3 years of related experience.
High school diploma is required.
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.
Valid license or certification is required 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.
Obtain patient demographic information with insurance and financial information, as warranted.
Searches MPI (Master Patient Index) completely and assigns the correct medical record number.
Notify supervisor or designate of any medical record numbers.
Verify all insurance and obtain pre-certification/authorization for services, as warranted.
Obtain proper authorization for treatment and approved codes from insurance carriers.
Assigns insurance plan accurately.
Calculate and collect patient liable amounts.
Explain policies regarding services rendered according to JHS collection policies.
Receives and processes all patient payments in accordance to JHS Collections Policy and Procedure-issues receipts and maintains the integrity of all payments.
Secures all required signatures are obtained 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 any questions and explains policies clearly.
Assists patients and/or family/relative with appointment scheduling, as warranted.
Process patient charts according to paperwork flow needs and established productivity standards.
Produce paperwork on each patient for distribution to appropriate departments.
Align 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 answer patient and visitor questions.
Informs patient of or their representative of delinquent accounts and attempt to obtain payment.
Check for physician orders and attached them to the patient medical records to ensure that patient are receiving appropriate tests.
Guides patient to his/her destination or refers patient to an available Guest Services Representative.
Responsible for timely bed assignment in to ensure patient are placed in appropriate unit 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 patients insurance plans. (Specific for Behavioral Health Center).
Attends in-services presentations and completes mandatory education, as warranted.
Attends 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.