Finance Specialist, Transplant, Full-Time, Days, 8:00am-4:30pm

Jackson Memorial Hospital

Jackson Memorial Hospital

Jackson Memorial Hospital - Transplant Financial Clearing Center

1611 NW 12th Ave, Miami, Florida, 33136

Full-Time, Days, 8:00am-4:30pm

Jackson Memorial Hospital is the flagship hospital for Jackson Health System and it has been a beacon of medical excellence and community care for more than a century. Throughout its rich and storied history, Jackson Memorial - located in the heart of the City of Miami - has been ground zero for some of the world's greatest medical breakthroughs and important moments in South Florida.

We've grown into one of the nation's largest public hospitals, and one of the few that is also a world-class academic medical center with a proud mission and proven success. Jackson Memorial is an accredited, tertiary teaching hospital with 1,500 licensed beds, where nearly every medical specialty is provided by some of the world's most skilled and highly regarded multidisciplinary team of healthcare professionals.

Transplant Finance Specialist is responsible for coordinating and clarifying the available financial resources for transplant patient care.

• Complete the Medicare Time Study Cost Report on alternating weeks on a monthly basis.
• Medicare requires that all Miami Transplant employees whether directly or indirectly involved in patient care complete this spreadsheet monthly.
• This spreadsheet requires a breakdown of the entire week of work allocated for all pre/post-transplant patients.
• Attends Committees/Support Groups as necessary, including but not limited to weekly Listing Committees specific to each organ, MELD score review meeting, Quality Committee meetings, and patients/families support groups.
• Be proficient in navigating OTTR. OTTR is an application specifically used in the Miami Transplant Institute that collects and stores all demographic, financial, organ type, status, date of Transplant, Re-Transplant, Providers, and all other pertinent information pertaining to all patients in a refereed, evaluated and listing status.
• Performs various patient interviewing and fact-finding tasks upon registration, pre-admission, and collects or verifies insurance and/or third-party information in order to assure funding and settlement of patient accounts.
• Performs financial screening and pre-registration, functions as a point of contact. Determines the patient's financial responsibility and credit level an initiates collection process following Patient Access department protocol.
• Refers patients to the Department of Patient Financial Services for financial assessment and determination of eligibility, as needed.
• Prepares and ensures proper documentation of the patient's account package including designated hospital forms and copies of required documents. Ensure that the registration documents are scanned.
• Facilitates pre-certification and authorizations for designated payors prior to appointment. Accurately collects all pertinent demographic and funding information at point of contact.
• Completes cross-training to assist in other potential service departments.
• Stays abreast of new health care trends and maintains knowledge of various payors and third-party funding. Maintains patient appointment logs and/or productivity reports, as assigned.
• Maintains a working knowledge of basic medical terminology and inter-departmental functions. Maintains appropriate inter-departmental communications to enhance patient services.
• Inputs and retrieves data on a personal computer as needed.
• Responds promptly to patient inquiries and to telephone calls by the third ring.
• Communicates in a friendly, courteous and caring manner and promotes the patient first philosophy at all times.
• Ensure the proper financial classification of patient accounts in accordance with established guidelines and make financial classification changes when warranted.
• Researches any outstanding account balances for the patient and initiates collective efforts as necessary.
• Verifies eligibility and authorizations from all third-party funding sources and obtains patient benefits.
• Develops third party funding and/or evaluates patients for referral to public medical assistance programs.
• Monitors and works the accounts receivable according to Patient Financial Services guidelines and contractual agreements.
• Assists with the coordination of audits and refunds to patients and other third-party payors.
• Interacts with hospital affiliated agencies and all County, State and…