Jackson Health System
Overview
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 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. Answer questions and explain 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 patient’s medical record and financial file. Welcomes patients and family members in a professional manner. Contacts clinical staff for emergency medical needs and answers patient and visitor questions. Inform patients or their representatives of delinquent accounts and attempt to obtain payment. Check for physician orders and attach them to the patient medical records to ensure that patients are receiving appropriate tests. Guide patients to their destination or refer patients to an available Guest Services Representative. Ensure timely bed assignment to place patients in the appropriate unit based on established criteria (Specific for Behavioral Health Center). Work with unit managers to problem solve issues related to transfers to or from external facilities (Specific for Behavioral Health Center). Review insurance contract matrix to verify appropriate hospital placement in accordance with the patient’s insurance plans (Specific for Behavioral Health Center). Attend in-services presentations and complete mandatory education, as warranted. Attend minimum of 80% of scheduled staff meetings. Demonstrate service excellence and CARE values (Compassion, Accountability, Respect and Expertise). Perform 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. Skills
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. Working Conditions
Physical Requirements - Job function is sedentary in nature and requires sitting for extended periods of time. May require frequent standing or walking. Must be able to lift or carry objects weighing up to 20 pounds. Close visual acuity for extended computer use and related tasks. Reasonable accommodation requests will be handled in collaboration with the RAC (Reasonable Accommodations Committee). Environmental Conditions - Fast-paced environment with occasional high pressure or emergent situations. Frequent interaction with a diverse population including team members, providers, patients, insurance companies and the public. Inside environmental conditions with occasional outdoor exposure. Possible exposure to communicable diseases, toxic substances and other hospital/medical office conditions. PPE may be worn when exposed to hospital environment outside of office. Reasonable accommodations can be made to enable people with disabilities to perform the described essential functions.
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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 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. Answer questions and explain 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 patient’s medical record and financial file. Welcomes patients and family members in a professional manner. Contacts clinical staff for emergency medical needs and answers patient and visitor questions. Inform patients or their representatives of delinquent accounts and attempt to obtain payment. Check for physician orders and attach them to the patient medical records to ensure that patients are receiving appropriate tests. Guide patients to their destination or refer patients to an available Guest Services Representative. Ensure timely bed assignment to place patients in the appropriate unit based on established criteria (Specific for Behavioral Health Center). Work with unit managers to problem solve issues related to transfers to or from external facilities (Specific for Behavioral Health Center). Review insurance contract matrix to verify appropriate hospital placement in accordance with the patient’s insurance plans (Specific for Behavioral Health Center). Attend in-services presentations and complete mandatory education, as warranted. Attend minimum of 80% of scheduled staff meetings. Demonstrate service excellence and CARE values (Compassion, Accountability, Respect and Expertise). Perform 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. Skills
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. Working Conditions
Physical Requirements - Job function is sedentary in nature and requires sitting for extended periods of time. May require frequent standing or walking. Must be able to lift or carry objects weighing up to 20 pounds. Close visual acuity for extended computer use and related tasks. Reasonable accommodation requests will be handled in collaboration with the RAC (Reasonable Accommodations Committee). Environmental Conditions - Fast-paced environment with occasional high pressure or emergent situations. Frequent interaction with a diverse population including team members, providers, patients, insurance companies and the public. Inside environmental conditions with occasional outdoor exposure. Possible exposure to communicable diseases, toxic substances and other hospital/medical office conditions. PPE may be worn when exposed to hospital environment outside of office. Reasonable accommodations can be made to enable people with disabilities to perform the described essential functions.
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