Collection Financial Analyst, Corporate Business Office

Collection Financial Analyst, Corporate Business Office, Full Time, Days

Department:
Jackson Memorial Hospital - Corporate Business Office
Address: 1400 NW N River Drive, Miami FL 33125
Shift details:
Full-Time, Days

Why Jackson
Jackson Health System is a nationally and internationally recognized academic medical system offering world-class care to any person who walks through our doors. For more than 100 years, Jackson has evolved into one of the world's top medical providers for all levels of care, no matter if it's for a routine patient visit or for a lifesaving procedure. With more than 2,000 licensed beds, we are also proud of our role as the primary teaching hospital for the University of Miami Miller School of Medicine.
Here, the best people come together to deliver Jackson's mission for our diverse communities. Our employees are committed to providing the best CARE by demonstrating compassion, accountability, respect, and expertise in everything we do.

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.

• 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.
• Ensure 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…