Revenue Cycle Account Representative Self Pay

Description

Miami Jewish Health is one of the largest providers of healthcare and living options for aging adults in the Southeast. Our main campus is located on 20+ acres just north of mid-town Miami, and is home to our support departments like Finance, Accounting, Human Resources, Marketing and more. Join us now to do purposeful work with our diverse and respectful team.

Job Title: Revenue Cycle Account Representative Self Pay

Job Summary

Responsible for the accurate set-up of all in-house Long-Term Care (LTC) patient liability accounts within the Nursing Home. Under the management of the Revenue Cycle Manager, is responsible for all collection activities through discharge of all LTC patient accounts in an effective and productive manner.

Essential Job Functions

• Handles communication with patients/family to determine ability to pay or eligibility for third party payers when necessary.

• Works closely with Admissions/Medicaid specialist team for all potential new residents to assure all collection efforts are handled

• Verifies outstanding account balances for LTC, Self- Pay, Medicare and HMO patients.

• Generating monthly statements.

• Sends outgoing correspondence regarding past due amounts and collection letters

• Collecting Checks, Cash and Credit Card payments.

• Reviews and corrects patient Liability as needed.

• Documents all collection activities immediately following contact in the system.

• Following up on messages and emails within 24-48 hours

• Advises supervisor of any issues and or discrepancies and works to get them resolved.

• Maintains a clean, organized, secure and safe work environment in accordance policies and procedures.

• Works on special projects as assigned.

• Participates in department meetings and in-services as necessary.

Job Requirements

Education:

• High School Diploma

Experience:

• Three years in a patient accounts with good knowledge of 3rd party payer practices and electronic billing and collection systems preferred.

• Experience in nursing home facility a plus.

Licenses/Certifications:

• N/A

Abilities Required

• Strong working knowledge of managed care contract language, Medicaid and Managed Care billing guidelines and regulations.

• Has knowledge of commonly-used concepts, practices, and procedures within field

• Has a working knowledge of the contract reimbursement matrix

• Excellent communication skills

• Working knowledge of Excel and Word.

• Good interpersonal skills in working with diverse staff

Functional Demands

Environment Work Conditions:

• Normal working condition with adequate lighting and ventilation

Infectious Material Exposure:

• N/A

Organizational Expectations

• Ensures that resident's/patient's rights are adhered to

• Demonstrates professionalism and accountability

• Demonstrates a caring attitude consistent with Miami Jewish Empathicare SM toward MJH residents, patients, family members, employees, and other facility guests

• Demonstrates excellent communication skills

• Ensures confidentiality and security of patients' medical information

• Identifies and utilizes appropriate channels of communication

• Able to speak, read and write English

• Able to think and act calmly to meet unusual occurrences of the job

• Adheres to the organization's Mission, Vision and Values

• Participates in departmental activities, meetings and in-services and follows established guidelines

• Maintains a safe working environment

The above statements are intended to describe the general nature and level of work being performed by people assigned to this job. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities from time to time, as needed.

We believe in the power of empathy, the value of relationships and the importance of a life well-lived. Come see why Miami Jewish Health is unlike anywhere you've ever worked before. We offer competitive compensation, medical/dental/vision coverage and a 403(b)-retirement savings plan for eligible full and part-time positions, free on-campus parking, an onsite fitness center and more .

Miami Jewish Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.