Patient Finance Specialist, FT, PT, Per Diem

Jackson Health System; Miami (FL); On-site; USD 35,000 - 52,000; Full time

Job summary

Jackson Health System in Miami is seeking a Patient Finance Specialist to manage timely patient registration and verify insurance coverage. You will interview patients and families to collect account information and ensure accurate records at the point of service.

This role involves bedside registration, arranging pre-certifications, calculating patient responsibilities, and guiding patients through payment processes while upholding our collection policies.

Qualifications

• Strong analytical and organizational skills with the ability to meet deadlines.
• Excellent written and verbal communication abilities.
• Ability to explain policies and collect payments per procedures.

Responsibilities

• Interview patients and families to obtain all necessary account information.
• Bedside registration using carts/computers on wheels.
• Verify insurance and obtain pre-certification as warranted.
• Calculate and collect patient liabilities according to policy.
• Explain policies and process payments per policy.
• Maintain accurate patient records and documentation.

Skills

Data analysis

Prioritization

Effective communication

Customer service

Education

High school diploma

Bachelor's degree preferred

Job description

Address: 1611 NW 12 Ave, Miami, FL 33160

Miami, FL Full-Time, Part time with Benefits, Per diem- PFS PAS Jackson Main

Summary

Patient Finance Specialist is responsible for timely and accurate patient registration. Interviews patients for all pertinent account information and verifies insurance coverage.

Responsibilities

• Interviews patients and or family/relative or other responsible party at workstation or at bedside to obtain all necessary account information.
• Bedside registration performed utilizing carts/computers on wheels.
• 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.

Experience

Generally requires 0 to 3 years of related experience.

Education

High school diploma is required. Bachelor's degree in related field is strongly preferred.

Skill

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.

Credentials

Valid license or certification is required as needed, based on the job or specialty.

Physical Requirements

Job function is sedentary in nature and requires sitting for extended periods of time. Function may require frequent standing or walking. Must be able to lift or carry objects weighing up to 20 pounds. Jobs in this group are required to have close visual acuity to perform activities such as: extended use of computers, preparing and analyzing data and analytics, and other components of a typical office environment. Additional information and provision requests for reasonable accommodation will be provided by the home unit/department in collaboration with the Reasonable Accommodations Committee (RAC).

Environmental Conditions

Jobs in this group are required to function in a fast paced environment with occasional high pressure or emergent and stressful situations. Frequent interaction with a diverse population including team members, providers, patients, insurance companies and other members of the public. Function is subject to inside environmental conditions, with occasional outdoor exposures. Possible exposure to various environments such as: communicable diseases, toxic substances, medicinal preparations and other conditions common to a hospital and medical office environment. May wear Personal Protective Equipment (PPE) such as gloves or a mask when exposed to hospital environment outside of office. Reasonable accommodations can be made to enable people with disabilities to perform the described essential functions. Additional information and provision requests for reasonable accommodation will be provided by the home unit/department in collaboration with the Reasonable Accommodations Committee (RAC).

Jackson Health System is an equal opportunity employer and makes employment decisions without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, disability status, age, or any other status protected by law.