Jackson Behavioral Health Hospital  1695 NW 9th Ave Miami, FL 33136 Mental Health Patient Access

Patient Finance Specialist, Full Time, Night Shift, 11PM-7:30AM, Weekend Rotation Schedule

Summary

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. 
• Searches MPI (Master Patient Index) completely and assigns 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. 
• Receives and processes all patient payments in accordance to 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. 
• Assists 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 patients medical record and financial file. 
• Welcomes patients and family members in a professional manner. 
• Contacts clinical staff for emergency medical needs and answer patient and visitor questions. 
• Informs patient of or their representative of delinquent accounts and attempt to obtain payment. 
• Check for physician orders and attached them to the patient medical records to ensure that patient are 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 patients 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.

Experience

Generally requires 0 to 3 years of related experience.

Education

High school diploma is required. Bachelor's degree in related field is strongly preferred.