Patient Finance Specialist, Jackson Behavioral Health, Full-Time, Nights

About the Role

Patient Finance Specialist is responsible for timely and accurate patient registration, verifying insurance coverage, and collecting patient liable amounts.

Responsibilities

• Interviews patients and/or family/relative or other responsible party at workstation or bedside to obtain all necessary account information (bedside registration performed utilizing carts/computers on wheels).
• Obtains patient demographic, insurance, and financial information as warranted.
• Searches MPI (Master Patient Index) completely and assigns the correct medical record number; notifies supervisor of any issues.
• Verifies all insurance and obtains pre-certification/authorization for services, including proper authorization for treatment and approved codes from insurance carriers.
• Assigns insurance plan accurately and calculates/collects patient liable amounts.
• Explains policies regarding services rendered according to JHS collection policies.
• Receives and processes all patient payments in accordance with JHS Collections Policy and Procedure; issues receipts and maintains payment integrity.
• Secures all required signatures for treatments, release of medical information, assignment of insurance benefits, and payments from legally responsible parties.
• Obtains copies of necessary patient identification and insurance cards; scans all documents timely.
• Answers questions and explains policies clearly; assists with appointment scheduling as warranted.
• Processes patient charts according to paperwork flow needs and established productivity standards; produces paperwork for distribution to appropriate departments.
• Aligns pertinent documents for establishing the patient’s medical record and financial file.
• Welcomes patients and family members professionally; contacts clinical staff for emergency medical needs and answers visitor questions.
• Informs patients or representatives of delinquent accounts and attempts to obtain payment.
• Checks for physician orders and attaches them to patient medical records to ensure appropriate tests are received.
• Guides patients to their destination or refers them to a Guest Services Representative.
• Ensures timely bed assignment to place patients in appropriate units based on established criteria (specific for Behavioral Health Center).
• Works closely with unit managers to problem-solve issues related to transfers to or from external facilities (specific for Behavioral Health Center).
• Reviews insurance contract matrix to verify appropriate hospital placement in accordance with patients’ insurance plans (specific for Behavioral Health Center).
• Attends in-services presentations and completes mandatory education as warranted; attends a minimum of 80% of scheduled staff meetings.
• Demonstrates behaviors of service excellence and CARE values (Compassion, Accountability, Respect, and Expertise).
• Performs all other related job duties as assigned.

Requirements

• High school diploma is required.
• Bachelor’s degree in a related field is strongly preferred.
• Generally requires 0 to 3 years of related experience.
• Valid license or certification is required as needed, based on the job or specialty.

Schedule

Full Time, Day Shift

Location: 1695 NW 9th Ave, Miami, FL 33136