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Customer Service Account Reconciliation Agent, Full Time, Days, 8:00AM-4:30PM
2 months ago
Address: 1400 N.W. North River Drive, 2nd Floor, Miami, FL 33125
Shift: Full-Time, Days, M-F, 8AM-4:30PM, Hybrid Schedule
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
Customer Service Account Reconciliation Agent is responsible for the collection of pertinent patient data information to complete the patient billing process. Essential duties for this include requesting and accurately documenting patient insurance information, calculating patient responsibility, and communicating in an effective and professional manner with internal and external customers. These functions ensure revenue cycle activities are performed accurately and completely in accordance with the mission, vision, and values of the Jackson Health System.
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.
- Protects the financial integrity of the organization by establishing payment arrangements, and discussing payment options at the time of patient/customer inquiry.
- Verifies insurance eligibility and benefits and ensures all notifications and authorizations are completed within required timeframes established by third party payers.
- Research and rectify account discrepancies using expertise in billing practices to initiate account resolution.
- Update applicable customer service tracking tool, financial system and registration system timely as prescribed by departmental policies.
- 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 payer 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 Enrollment Services Refers self pay, patients with limited or exhausted benefits to the in-house Enrollment Services representative.
- Participates in training and continued learning programs to meet mandatory requirements and enhance professional and personal growth.
- Meets daily, weekly and monthly productivity standards as prescribed by leadership.
- 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.
- Completes cross-training to assist in other Uncompensated Care 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.
Credentials
Non-licensed worker.
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.
