Jackson Health System
Patient Finance Specialist, Emergency Room, Full Time, Days, Jackson South M.C.
Jackson Health System, Miami, Florida, us, 33222
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. Search MPI (Master Patient Index) completely and assign 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. Receive and process all patient payments in accordance to JHS Collections Policy and Procedure; issue receipts and maintain integrity of all payments. Secure signatures for treatments, release of medical information, assignment of insurance benefits and payments from legally responsible parties. Obtain copies of necessary patient identification and insurance cards. Scan all documents timely. Answer questions and explain policies clearly. Assist patients and/or family with appointment scheduling as warranted. Process patient charts according to paperwork flow needs and productivity standards. Produce paperwork for distribution to appropriate departments. Align pertinent documents for establishing the patient’s medical record and financial file. Welcome patients and family members professionally. Coordinate with clinical staff for emergency medical needs and answer questions. Inform patient or representative of delinquent accounts and attempt to obtain payment. Check physician orders and attach them to patient records to ensure appropriate tests are performed. Guide patient to destination or refer to available Guest Services Representative. Ensure timely bed assignment to place patients in appropriate unit based on established criteria (specific to Behavioral Health Center). Collaborate with unit managers to resolve transfer issues related to external facilities (Behavioral Health Center). Review insurance contract matrix to verify appropriate hospital placement per patient's insurance plans (Behavioral Health Center). Attend in-services and mandatory education as warranted. Attend at least 80% of scheduled staff meetings. Demonstrate service excellence and CARE values (Compassion, Accountability, Respect and Expertise). Perform other related duties as assigned. Experience
Generally requires 0 to 3 years of related experience. Education
High school diploma required. Bachelor’s degree in related field strongly preferred. Skills
Ability to analyze, organize and prioritize work accurately while meeting multiple deadlines. Effective oral and written communication. 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. Unit Specific Credentials
Working Conditions
Physical Requirements – Sedentary in nature; sitting for extended periods. May require standing or walking and lifting/carrying up to 20 pounds. Close visual acuity for computer work and related tasks. Reasonable accommodation requests provided by the home unit/department in collaboration with the Reasonable Accommodations Committee (RAC). Environmental Conditions
Fast-paced environment with occasional high pressure or emergent situations. Frequent interaction with diverse populations including team members, providers, patients, insurance companies and the public. Inside environment with occasional outdoor exposures. Potential exposure to various environments, including communicable diseases and other hospital/medical office conditions. PPE may be required when exposed to hospital environment outside of office. Reasonable accommodations available through RAC. Details
Seniority level: Entry level Employment type: Full-time Job function: Finance and Sales Industries: Hospitals and Health Care
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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. Search MPI (Master Patient Index) completely and assign 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. Receive and process all patient payments in accordance to JHS Collections Policy and Procedure; issue receipts and maintain integrity of all payments. Secure signatures for treatments, release of medical information, assignment of insurance benefits and payments from legally responsible parties. Obtain copies of necessary patient identification and insurance cards. Scan all documents timely. Answer questions and explain policies clearly. Assist patients and/or family with appointment scheduling as warranted. Process patient charts according to paperwork flow needs and productivity standards. Produce paperwork for distribution to appropriate departments. Align pertinent documents for establishing the patient’s medical record and financial file. Welcome patients and family members professionally. Coordinate with clinical staff for emergency medical needs and answer questions. Inform patient or representative of delinquent accounts and attempt to obtain payment. Check physician orders and attach them to patient records to ensure appropriate tests are performed. Guide patient to destination or refer to available Guest Services Representative. Ensure timely bed assignment to place patients in appropriate unit based on established criteria (specific to Behavioral Health Center). Collaborate with unit managers to resolve transfer issues related to external facilities (Behavioral Health Center). Review insurance contract matrix to verify appropriate hospital placement per patient's insurance plans (Behavioral Health Center). Attend in-services and mandatory education as warranted. Attend at least 80% of scheduled staff meetings. Demonstrate service excellence and CARE values (Compassion, Accountability, Respect and Expertise). Perform other related duties as assigned. Experience
Generally requires 0 to 3 years of related experience. Education
High school diploma required. Bachelor’s degree in related field strongly preferred. Skills
Ability to analyze, organize and prioritize work accurately while meeting multiple deadlines. Effective oral and written communication. 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. Unit Specific Credentials
Working Conditions
Physical Requirements – Sedentary in nature; sitting for extended periods. May require standing or walking and lifting/carrying up to 20 pounds. Close visual acuity for computer work and related tasks. Reasonable accommodation requests provided by the home unit/department in collaboration with the Reasonable Accommodations Committee (RAC). Environmental Conditions
Fast-paced environment with occasional high pressure or emergent situations. Frequent interaction with diverse populations including team members, providers, patients, insurance companies and the public. Inside environment with occasional outdoor exposures. Potential exposure to various environments, including communicable diseases and other hospital/medical office conditions. PPE may be required when exposed to hospital environment outside of office. Reasonable accommodations available through RAC. Details
Seniority level: Entry level Employment type: Full-time Job function: Finance and Sales Industries: Hospitals and Health Care
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