Patient Finance Specialist, Pediatric Cardiology, Holtz Children's Hospital, FT, Days

Patient Finance Specialist

Holtz Children's Hospital at the University of Miami / Jackson Memorial Medical Center is one of the largest pediatric hospitals in the southeast United States, where UHealth - University of Miami Health System physicians treat children from throughout Florida and the Caribbean. Holtz Children's is known worldwide for its care of critically ill newborns in its neonatal intensive care unit, which is one of the largest in the United States and boasts some of the best medical outcomes. In collaboration with the Miami Transplant Institute, Holtz Children's is one of only three centers in the country that specializes in pediatric multi-organ transplants. It is home to one of only three state-accredited comprehensive children's kidney failure centers and one of the largest pediatric kidney transplant programs in the world. The Children's Heart Center at Holtz Children's is the only comprehensive children's heart program in South Florida. In partnership with the University of Miami, Holtz Children's also trains the most pediatric physicians of any medical center in the southeastern United States.

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.

Credentials : Valid license or certification is required as needed, based on the job or specialty.

Jackson Health System is an equal opportunity employer and makes employment decisions without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, disability status, age, or any other status protected by law.