Patient Finance Specialist, Per Diem, Days

Patient Finance Specialist

Jackson Memorial Hospital is the flagship hospital for Jackson Health System and it has been a beacon of medical excellence and community care for more than a century. Throughout its rich and storied history, Jackson Memorial - located in the heart of the City of Miami - has been ground zero for some of the world's greatest medical breakthroughs and important moments in South Florida. We've grown into one of the nation's largest public hospitals, and one of the few that is also a world-class academic medical center with a proud mission and proven success. Jackson Memorial is an accredited, tertiary teaching hospital with 1,500 licensed beds, where nearly every medical specialty is provided by some of the world's most skilled and highly regarded multidisciplinary team of healthcare professionals.

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

Responsibilities include:

• Interviewing patients and or family/relative or other responsible party at workstation or at bedside to obtain all necessary account information.
• Obtaining patient demographic information with insurance and financial information, as warranted.
• Searching MPI (Master Patient Index) completely and assigning the correct medical record number.
• Notifying supervisor or designate of any medical record numbers.
• Verifying all insurance and obtaining pre-certification/authorization for services, as warranted.
• Obtaining proper authorization for treatment and approved codes from insurance carriers.
• Assigning insurance plan accurately.
• Calculating and collecting patient liable amounts.
• Explaining policies regarding services rendered according to JHS collection policies.
• Receiving and processing all patient payments in accordance to JHS Collections Policy and Procedure-issuing receipts and maintaining the integrity of all payments.
• Securing all required signatures are obtained for treatments, release of medical information, assignment of insurance benefits and payments of services from legally responsible parties.
• Obtaining copies of necessary patient identification and insurance cards.
• Scanning all documents timely.
• Answering any questions and explaining policies clearly.
• Assisting patients and or family/relative with appointment scheduling, as warranted.
• Processing patient charts according to paperwork flow needs and established productivity standards.
• Producing paperwork on each patient for distribution to appropriate departments.
• Aligning pertinent documents for establishing the patients medical record and financial file.
• Welcoming patients and family members in a professional manner.
• Contacting clinical staff for emergency medical needs and answering patient and visitor questions.
• Informing patient of or their representative of delinquent accounts and attempt to obtain payment.
• Checking for physician orders and attaching them to the patient medical records to ensure that patients are receiving appropriate tests.
• Guiding patient to his/her destination or referring patient to an available Guest Services Representative.
• Responsible for timely bed assignment in to ensure patients are placed in appropriate unit based on established criteria (Specific for Behavioral Health Center).
• Working closely with unit managers to problem solve issues related to transfers to or from external facilities (Specific for Behavioral Health Center).
• Reviewing insurance contract matrix to verify appropriate hospital placement in accordance with the patients insurance plans (Specific for Behavioral Health Center).
• Attending in-services presentations and completing mandatory education, as warranted.
• Attending minimum of 80% of scheduled staff meetings.
• Demonstrating behaviors of service excellence and CARE values (Compassion, Accountability, Respect and Expertise).
• Performing all other related job duties as assigned.

Generally requires 0 to 3 years of related experience. High school diploma is required. Bachelor's degree in related field is strongly preferred.

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.

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).