Billing & Collections Representative - Hybrid Role

Company: Miami Jewish Health
Location: Miami
Posted on: November 22, 2021

Job Description:

Miami Jewish Health is one of the largest healthcare providers in the southeast focused on our aging population. Our unique continuum of care on our 20+ acre campus located in the Buena Vista neighborhood of Miami, offers services that include short and long-term skilled nursing, a state-of-the art on-site dialysis center in partnership with DaVita, a 32-bed acute-care hospital, an ambulatory health clinic, an inpatient hospice unit in partnership with Seasons Hospice, a memory and research institute specializing in the treatment and support of those living with Alzheimer's disease and other neurocognitive disorders, a multidisciplinary functional restoration program for the treatment of chronic pain, home health and home care services, and assisted and independent living. Additionally, we have the largest Program for All-Inclusive Care for the Elderly (PACE) in the state of Florida, with three locations in Dade County and one in Broward County.Job SummaryResponsible for the accurate billing of all patient accounts. Under the management of the Business Office Manager, is responsible for all collection activities, denial management, appeals, and final resolution of all managed care patient accounts for their specific managed care companies in an effective and productive manner. Responsible for preparing billings, case records and statistical reports; initiating calls to delinquent customers to collect payments and settle accounts.Essential Job FunctionsInterviews patients to determine ability to pay or eligibility for third party payers.Prepares billings by established department procedures and deadlines.Contacts managed care companies to request payment. Pursues managed care companies until the facility receives payment.Reviews each bill for complete and accurate data. If bill is incomplete, requests information needed to complete. Once data is received, complete and update the patient's account.Documents all collection activities immediately following contact per established department procedures and deadlines.Advises supervisor of any issues and or discrepancies and works to get them resolved.Prepares case records and statistical reports per established department procedures and deadlines.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 RequirementsEducationHigh School DiplomaExperienceAt least 3 years in patient accounts with good knowledge of 3rd party payer practices and electronic billing and collection systems.Experience in nursing home facility a plus.Licenses/CertificationsN/AAbilities RequiredStrong 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 fieldHas a working knowledge of the contract reimbursement matrixExcellent communication skillsGood interpersonal skills in working with diverse staffAble to use personal computer for completing excel worksheetsFunctional DemandsEnvironment Work ConditionsNormal working condition with adequate lighting and ventilationInfectious Material Exposure:N/AOrganizational ExpectationsEnsures that resident's/patient's rights are adhered toDemonstrates professionalism and accountabilityDemonstrates a caring attitude consistent with Miami Jewish EmpathicareSM toward MJH residents, patients, family members, employees, and other facility guestsDemonstrates excellent communication skillsEnsures confidentiality and security of patients' medical informationIdentifies and utilizes appropriate channels of communicationAble to speak, read and write EnglishAble to think and act calmly to meet unusual occurrences of the jobAdheres to the organization's Mission, Vision and ValuesParticipates in departmental activities, meetings and in-services and follows established guidelinesMaintains a safe working environmentMiami 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.

Keywords: Miami Jewish Health, Miami , Billing & Collections Representative - Hybrid Role, Accounting, Auditing , Miami, Florida