Jackson Memorial Hospital

Department: Jackson Memorial Hospital

Address: 1611 NW 12th Ave, Miami, Florida, 33136

Shift details: Full-Time, Days

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

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

Responsibilities

• Complete the Medicare Time Study Cost Report on alternating weeks on a monthly basis.
• 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.
• 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.
• Determines the patient's financial responsibility and credit level and initiates collection process following Patient Access department protocol.
• Prepares and ensures proper documentation of the patient's account package including designated hospital forms and copies of required documents.
• Facilitates pre-certification and authorizations for designated payors prior to appointment.
• Maintains appropriate inter-departmental communications to enhance patient services.
• Responds promptly to patient inquiries and to telephone calls by the third ring.
• Researches any outstanding account balances for the patient and initiates collective efforts as necessary.
• Monitors and works the accounts receivable according to Patient Financial Services guidelines and contractual agreements.
• Interacts with hospital affiliated agencies and all County, State and Federal Agencies.
• Answers all telephone inquiries regarding patient accounts.
• Initiates patient contact either in person, by phone or correspondence, accordingly.
• Facilitates resolution of patient billing issues.

Experience

Generally requires 3 to 5 years of related experience.

Education

High School diploma is required.

Skill

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.

Working Conditions

Physical Requirements - 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.

Environmental Conditions - Jobs in this group are required to function in a fast paced environment with occasional high pressure or emergent and stressful situations.