Patient Financial Services Lead

Community Health of South Florida, Inc.; Miami, Northern (FL, KY); Hybrid; USD 25,000 - 34,000; Full time

Job summary

Community Health of South Florida, Inc. is hiring a Patient Financial Services Specialist II in Miami. The role coordinates patient registration, billing and data processing workflows, ensuring accurate postings and timely deposits.

The position requires a high school diploma, 5 years in healthcare, and knowledge of Medicaid/Medicare billing. The PFSS II will supervise clerical staff, train new employees, and handle patient payment arrangements, while maintaining HIPAA compliance and quality

Qualifications

• High School Diploma or GED required.
• Five years’ experience in Health Care.
• Knowledge of Medicaid / Medicare insurance, collections and setup.
• Must know how to post B&E’s.

Responsibilities

• Complete statistical data and submit daily.
• Plans, supervises and coordinates the work of Patient Financial Services Specialist staff and supporting clerical staff in various Departments.
• Assist with training of new employees and work related problems.
• Answers inquiries of staff as questions arise in connection with obtaining needed information.
• Spot check work in progress to ensure prompt work flow to and from Data Processing.
• Ensures that decisions are in accordance with CHI Policies.
• Make credit decisions regarding admission deposit in problem situations.
• Discuss with patient the status of their accounts and make payment arrangements.
• Verifies Medicare, Medicaid and all other insurance carriers when needed.
• Coordinates and directs balance of daily closing and ensures that all procedures and payments are posted accurately by staff.
• Performs cashier duties, collects patient funds for services and enters data into computer for payment received.
• Performs voids, deletions, corrections on payments, B&E’s and batches.
• Performs billing audits to ensure compliance by the PFSS.
• Provides instruction regarding posting in computer correctly.
• Verifies batches of PFSS.
• Provides updates and training of cashier functions.
• Provides reports to the Director of Finance or appropriate staff.
• Use appropriate and correct telephone etiquette at all times.
• Participates in Continuing Educational In-service and Performance Improvement Activities.
• Report of PFSS errors.
• Report of Medical Coding errors.
• Ensures that all B&E (billing and encounter) forms are posted by the PFSS within the same of service.
• Ensure batches are scanned into the Imaging system on time and accurately.
• Allocation of Personnel to cover staff shortages.
• Reports to work on time and ready to work with minimal absenteeism.
• Adheres to the Confidentiality Policies and Procedures / HIPAA Regulations.
• Performs other duties as assigned, including variable shifts if needed.

Skills

Leadership

Clerical

Typing 35 WPM

Interviewing

Math

Calculator

Telephone etiquette

Interpersonal

Organizational

Computer literacy

Oral and written communication

Education

High School Diploma or GED

5 years healthcare experience

Medicaid/Medicare knowledge

Tools

None

Job description

Community Health of South Florida, Inc. is hiring a Patient Financial Services Specialist II in Miami. The role coordinates patient registration, billing and data processing workflows, ensuring accurate postings and timely deposits.

The position requires a high school diploma, 5 years in healthcare, and knowledge of Medicaid/Medicare billing. The PFSS II will supervise clerical staff, train new employees, and handle patient payment arrangements, while maintaining HIPAA compliance and quality