PATIENT FINANCIAL SERVICES SPECIALIST - EVERGLADES

Patient Financial Services Specialist

The purpose of the Patient Financial Services Specialist is to ensure that the Billing and Encounter Forms are processed correctly. Coordination of work from the patient care areas, maintaining the work flow of documents to and from Data Processing.

Position Requirements / 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.

Licensure / Certification: Maintain current CPR certification from the American Heart Association.

Skills / Ability:

Ability to work as a team member. Must have clerical skills, ability to type 20 - 30 wpm and have interviewing skills. Must have knowledge of math, operation of calculator; telephone etiquette, human relation skills and organizational skills. Must be computer literate. Ability to demonstrate effective oral and written communication skills.

Position Responsibilities (This is a non-exempt position):

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 of 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&Es 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.

Community Health of South Florida