Collection Financial Analyst, Cbo, Full Time, Days - Miami, United States - Jackson Health System

Jackson Health System
Jackson Health System
Verified Company
Miami, United States

2 weeks ago

Mark Lane

Posted by:

Mark Lane

beBee recruiter
Full time
Description

Department:
Jackson Memorial Hospital - Corporate Business Office

Address: 1400 NW North River Drive, 2nd Floor, Miami, FL 33125

Shift Details:
Full-Time, Days, M-F 8AM-4:30PM


Why Jackson:


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.


Summary


CBO Collection Financial Analyst perform various interviewing, fact collection and financial evaluation tasks in connection with credit and collection in a large and diversified hospital serving both non-indigent and indigent patients qualifying for various types of specialized assistance programs.

Incumbents may specialize in either credit or collection work or a combination of both. Primary emphasis is on financial counseling with patient from pre-admission through account becoming a discharged zero balance. Incumbents are responsible for interview of patient, family or guarantor to explain charges, hospital policy and payment procedures.

The incumbents are also responsible for confirming all commercial insurance and conducting extensive third party and welfare program finding in order to obtain payments as promptly as possible or direct account to collection agency.


Responsibilities
Identify and resolve accounts and patient concerns through the use of JHS Patient Accounting Systems. Adjudicate patient accounts as appropriate based on dollar threshold and obtain the appropriate approval.

Will require the ability to analyze patient account balances and submit adjustment or payment transfers to the appropriate management approval.

Update JHS Patient Accounting Systems with any changes that may be necessary to accurately reflect the patients demographic and financial information to include but not limited to the patients financial class, insurance eligibility, patient balance, etc.

based on follow-up calls or new information through collection efforts or correspondence. Determine if payments are accurate based on the Payer agreement.

Will be required to understand a variety of payment mechanism from DRGs, Stop Gap, Percent of Charge, Per Diem and/or any other special agreements that JHS has or will contract with to secure payment of the patient receivable.

Contact Payers and Debtors to ensure timely payment and account resolution. Research, resolve delinquent accounts and document all follow up activity and post comments into the JHS Patient Accounting System. Documentation of account activity should be concise and easily understood by anyone that may need access to the patient accounting record to include others staff members within the department, hospital staff members that may need to understand past billing and collection activity, and auditors or others that require billing and collection information that are designated as an approved source (i.e. courts, lawyers, payers, etc.). Validate and determine if all data on account is accurate to conduct appropriate follow-up activity.

Use daily work list or other appropriate account listing (ATB, etc.) to determine accounts that need to be worked each day.

Insure that their assigned management team member is made aware of any issues with accessing their assigned work list or other issues that can impact the volume of work each day.

Routinely work with supervision and management to improve processes, increase accuracy, create efficiencies and achieve the overall goals of the department.

The CFA should be able to identify trends of denials or other payer issues and report those issues to the management team in the CBO.

Quickly respond to changes in the Payer requirements and regulations to improve collections and be able to effectively communicate those changes to the other members of their team.

Maintain productivity and quality standards in accordance with department policy and procedure.

Continually improve knowledge of Medicare, Medicaid, and other third party Payers to insure a clear understanding of Payer requirements that may required to facilitate the billing and reimbursement process using multiple hospital and Payer systems.

Must be very detail-oriented and accustomed to high volume output utilizing telephone, fax, Payer websites, CMS common working file, and/or Medicaid s website.

Work directly with other departments and physicians that ma
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