Department: Jackson Memorial Hospital - Uncompensated Care

Address: 1611 NW 12 Ave., Miami, FL 33136

Shift: Full-Time, Days, M-F, On-Site

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

Enrollment Support Representative 1 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.

Responsibilities

Obtains demographic, insurance, and financial information from patient, guarantor, or other authorized representative; enters data in ADT computer database with a high degree of accuracy. Explains all required forms to the patient, guarantor, or authorized representative; obtains required signatures, provides copy of documents, and related literature. Verifies insurance eligibility and benefits and ensures all notifications and authorizations are completed within required timeframes established by third party payers. Collects patient liability when applicable, provides patient receipt, and documents payment in registration/billing systems. Maintains registration accuracy rate of 98% or above as identified by quality assurance audits. Ability to accurately utilize computer software and equipment for printing, documenting, and storing patient information; includes, but not limited to, patient identification, insurance information, and consents. Maintains current knowledge of eligibility requirements and regulations. Acts as a liaison to share patient-specific insurance and updates on a need to know basis with pertinent areas such as Centralized Business Office, Case Management, and Patient Access. Refers self pay, patients with limited or exhausted benefits to the in-house uncompensated care representative. Participates in training and continued learning programs to meet mandatory requirements and enhance professional and personal growth. Participates in performance improvement initiatives and works with department leadership to develop and attain key performance indicators. Maintains confidentiality in accordance with established policies and procedures when handling patient information. Complies and demonstrates competency related to emergency preparedness, universal precautions, MSDS, electrical/fire safety and any other areas related to safety and environment of care. Keeps supervisor informed of any registration or revenue cycle related issues. Communicates in a friendly, caring, and professional manner through the utilization of scripting guidelines. Promotes the patient first philosophy at all times. Performs, patient check-in and patient check-out as applicable. Completes cross-training to assist in other Patient Access and Revenue Cycle areas. Demonstrates behaviors of service excellence and CARE values (Compassion, Accountability, Respect and Expertise). Performs other related job duties as assigned.

Experience

Generally requires 0 to 3 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. Ability to understand and follow instructions. Ability to exercise sound and independent judgment. Knowledge and skill in use of job appropriate technology and software applications.

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.