Patient Billing & Enrollment Specialist

Community Health Of South Florida Inc; Miami (FL); On-site; USD 21,000 - 25,000; Full time

Job summary

Community Health Of South Florida Inc in Miami, FL seeks a Patient Financial Services Specialist to ensure accurate processing of billing and encounter forms and to coordinate workflow between patient care areas and Data Processing. This non-exempt, full-time clerical role handles registrations, payments and daily balance closing.

Requirements include a high school diploma or GED, CPR certification, basic math and computer skills, and experience with Medicaid/Medicare insurance.

Qualifications

• Education/Experience: A minimum of High School Diploma or GED Equivalent. ICD 9 Coding experience preferred.
• Experience with Patient Services. Must have knowledge of Medicaid / Medicare Insurance, collection and setup.

Responsibilities

• Register new client on Intergy as per guidelines issued by Community Health of So. Florida.
• Researches files for previous enrollment in CHI computer system before creating a new medical record number.
• Re-new or update existing clients profiles as per guidelines issued by Community Health of South Florida.
• Performs financial screening on active clients who have requested services from Community Health of South Florida, Inc.
• Attempt collection o Completes assigned task in a timely manner.f past due debts as clients request services from CHI.
• Check-in clients for needed medical services.
• Check-out clients upon receiving medical services.
• Process of patient payments.
• Review and balance out daily batches.
• Submit daily journal to assigned supervisor.
• Submit cash and copies of daily batches to the Accounting Department for deposit.
• Complete statistical data and submit daily.
• Reviews Quality Care Guidelines/Patient Reminder print-out to identify overdue items e.g. Advance Directives, Learning Needs Assessment, Depression Screening, etc.
• Identifies patients who have not executed an Advance Directive and provide them with the Advance Directive form to read.
• Identifies patients who need a Learning Needs Assessment and gives them the form to complete.
• Identifies patients due for Depression Screening and provide them with a PHQ-9 form in the appropriate language to complete.
• Gives all new patients a New Patient History form to complete before Nursing Staff calls the patient.
• Attaches a completed new patient lab request form to the encounter form of every new patient.
• Consistently informs patients that their Provider wants them to read or complete the appropriate forms or education material while waiting to see the Provider.
• Verifies Medicare, Medicaid and all other insurance carriers.
• Performs daily balance closing and ensures that all procedures and payments are posted accurately.
• Performs cashier duties, collect patient funds for services and enters data into computer for payment received.
• Train new employees on all functions of Patient Services (i.e. registration, cashiering, posting of B&E’s and Payments).
• Use appropriate and correct telephone etiquette at all times.
• Participates in Continuing Educational In-services and Performance Improvement Activities.
• Reports to work on time and ready to work with minimal absenteeism.
• Completes & Post all B&E (billing and encounter) forms within the same of service.
• Adheres to the Confidentiality Policies and Procedures / HIPAA Regulations.
• Performs other duties as assigned, including variable shifts if needed.

Skills

Typing speed 20-30 wpm

Clerical skills

Telephone etiquette

Communication skills

Computer literate

Education

High School Diploma or GED

Job description

Community Health Of South Florida Inc in Miami, FL seeks a Patient Financial Services Specialist to ensure accurate processing of billing and encounter forms and to coordinate workflow between patient care areas and Data Processing. This non-exempt, full-time clerical role handles registrations, payments and daily balance closing.

Requirements include a high school diploma or GED, CPR certification, basic math and computer skills, and experience with Medicaid/Medicare insurance.