Patient Finance Specialist​/Night Shift​/Patient Access ED​/Jackson West Medical Center

Miami, FL Full-Time JW-Patient Access ED

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

• Interview patients and/or family/relative or other responsible party at workstation or at bedside to obtain all necessary account information.
• Perform bedside registration 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; assign 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 with JHS Collections Policy and Procedure, issue receipts and maintain the integrity of all payments.
• Secure all required signatures for treatments, release of medical information, assignment of insurance benefits and payments of services from legally responsible parties.
• Obtain copies of necessary patient identification and insurance cards; scan all documents timely.
• Answer any questions and explain policies clearly.
• Assist 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.
• Welcome patients and family members in a professional manner.
• Contact clinical staff for emergency medical needs and answer patient and visitor questions.
• Inform patient or their representative 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 patient to his/her destination or refer patient to an available Guest Services Representative.
• Be responsible for timely bed assignment to ensure patients are placed in appropriate unit based on established criteria (Specific for Behavioral Health Center).
• Work closely 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-service presentations and complete mandatory education, as warranted.
• Attend a minimum of 80% of scheduled staff meetings.
• Demonstrate behaviors of service excellence and CARE values (Compassion, Accountability, Respect and Expertise).
• Perform 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.

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).

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