Jackson Health System · 4 weeks ago
Collection Financial Analyst, Corporate Business Office, Full Time, Days
Miami, FL
Full-time
Onsite
Mid Level
3+ years expJackson Health System is a nationally recognized academic medical system offering world-class care. The Collection Financial Analyst is responsible for financial counseling and managing patient accounts to ensure timely payments and account resolutions.
Health CareHospital
Responsibilities
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 management team in the CBO
Quickly respond to changes in the Payer requirements and regulations to improve collections and be able to effectively communicate those changes to the other members of their team
Maintain productivity and quality standards in accordance with department policy and procedure
Continually improve knowledge of Medicare, Medicaid, and other third party Payers to insure a clear understanding of Payer requirements that may required to facilitate the billing and reimbursement process using multiple hospital and Payer systems
Must be very detail-oriented and accustomed to high volume output utilizing telephone, fax, Payer websites, CMS common working file, and/or Medicaid s website
Work directly with other departments and physicians that may provide information on collecting JHS account receivable
Will be required to develop and maintain good working relationships with others that impact the collection of JHS receivables
Insures proper use of all information systems available within the Hospital technology platform
Complies with HIPPA and JHS requirements as it relates to Patient Health Information
Will you JHS technology system strictly for their intend use
Adhere to JHS and Departmental policies and complete annual testing as may be required by various regulatory agencies, JHS, and/or the CBO
Attend mandatory training and maintain proficiency with the ability to pass job related skills tests with 85%
Demonstrates behaviors of service excellence and CARE values (Compassion, Accountability, Respect and Expertise)
Performs other job duties that may be required to provide the quality and level of service expected by JHS and Revenue Cycle management
Qualification
Required
High school diploma is required
Generally requires 3 to 5 years of related experience
Valid license or certification is required as needed, based on the job or specialty
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
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
Determine if payments are accurate based on the Payer agreement
Understand a variety of payment mechanism from DRGs, Stop Gap, Percent of Charge, Per Diem and/or any other special agreements
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
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 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
Routinely work with supervision and management to improve processes, increase accuracy, create efficiencies and achieve the overall goals of the department
Identify trends of denials or other payer issues and report those issues to the management team in the CBO
Quickly respond to changes in the Payer requirements and regulations to improve collections
Maintain productivity and quality standards in accordance with department policy and procedure
Continually improve knowledge of Medicare, Medicaid, and other third party Payers
Must be very detail-oriented and accustomed to high volume output utilizing telephone, fax, Payer websites, CMS common working file, and/or Medicaid's website
Work directly with other departments and physicians that may provide information on collecting JHS account receivable
Develop and maintain good working relationships with others that impact the collection of JHS receivables
Insure proper use of all information systems available within the Hospital technology platform
Comply with HIPPA and JHS requirements as it relates to Patient Health Information
Adhere to JHS and Departmental policies and complete annual testing as may be required by various regulatory agencies, JHS, and/or the CBO
Attend mandatory training and maintain proficiency with the ability to pass job related skills tests with 85%
Demonstrate behaviors of service excellence and CARE values (Compassion, Accountability, Respect and Expertise)
Perform other job duties that may be required to provide the quality and level of service expected by JHS and Revenue Cycle management
Preferred
Bachelor's degree in related field is strongly preferred
Company
Jackson Health System
Jackson Health System is a nonprofit academic medical system offering world-class care to any person who walks through its doors.
10001+ employees
Funding
Current Stage
Late StageLeadership Team
Carlos Migoya
CEO
Eddie Borrego
SVP & CEO, Jackson West Medical Center
Recent News
2025-10-07
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