Patient Finance Specialist, Part Time, Days, 9:00am-1:30pm, 11:00am-3:30pm

Responsibilities

• Interviews patients for all pertinent account information and verifies insurance coverage.
• Bedside registration performed utilizing carts/computers on wheels.
• Obtains patient demographic information with insurance and financial information, as warranted.
• Seraches MPI (Master Patient Index) completely and assigns the correct medical record number.
• Notifies supervisor or designate of any medical record numbers.
• Verifies all insurance and obtains pre-certification/authorization for services, as warranted.
• 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 with JHS Collections Policy and Procedure—issues receipts and maintains the integrity of all payments.
• Secures all required signatures are obtained 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.
• Answers any questions and explains policies clearly.
• Affords assistance with appointment scheduling, as warranted.
• Processes patient charts according to paperwork flow needs and established productivity standards.
• Produces paperwork on each patient for distribution to appropriate departments.
• Aligns pertinent documents for establishing the patients' 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.
• Informs patient of or their representative of delinquent accounts and attempts to obtain payment.
• Checks for physician orders and attaches them to the patient medical records to ensure that patient is receiving appropriate tests.
• Guides patient to his/her destination or refers patient to an available Guest Services Representative.
• Responsible for timely bed assignment in to ensure patient are placed in appropriate unit 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 the patient's insurance plans.
• (Specific for Behavioral Health Center).
• Attends in-services presentations and completes mandatory education, as warranted.
• Attends 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.

Qualifications

• 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.