Description

Jackson Memorial Hospital

Corporate Business Office

Days, Full Time

Position Summary:
CBO Data Control Application Analyst 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. Patient Finance Associates are responsible for confirming all commercial insurance and conducting extensive third party and welfare program finding in order to obtain payments as promptly as possible or direct account to collection agency.

Duties & Responsibilities:
Posts all payments and adjustments to the specified patient account in accordance with the current policy and procedure and information submitted by the payer or third party resource. Will post other adjustments and request to transfer payments that have an approval from appropriate management. Reviews remittances to verify contractual amounts, denials, payments, and adjustments that require posting to patient accounts. Provides reports as required by Supervisor, Management, Internal Banking, JHS Accounting, and Auditors as may be required to support the cash management operation of JHS. Each DCAA is responsible for balancing his/her batch back to the daily bank deposit. Each DCAA will be responsible for correcting errors or unapplied within twenty four hours from remit date. Works to identify the appropriate account for unidentified cash and ensures that all such cash is posted or that a refund is requested, as established by manager. Reports any amounts that have been deposited to the incorrect bank account to the supervisor and to the Accounting Department upon discovery. Assists in the research and correction of posting errors. Works with supervision, management and the patient accounting staff to improve processes, increase accuracy, create efficiencies and achieve the overall goals of the department. As requested, participates in general or special assignments. Attend mandatory training and maintain proficiency with the ability to pass job related skills test with 85%. Updates JHS Patient Accounting System with any changes to financial class, insurance eligibility, etc. based on new or updated information received while researching payment and adjustment activity. Research and document all research activity and post comments into the JHS Patient Accounting System using the appropriate account or accounts. Accurately document work activity on-line for future departmental reference. All documentation should be clear, concise and easily understood by others. Works with supervision, management and the patient accounting staff to improve processes, increase accuracy, create efficiencies and achieve the overall goals of the department. Maybe assigned task to work directly with JHS bank or payers to improve data that is transmitted either electronically or on payer to improve the cash application process. Maintains productivity and quality standards in accordance with department policy and procedure. Informs the Supervisor of any problems or changes in Payor requirements. Exercises independent judgment to analyze and report repetitive edit failures so corrective actions can be taken. 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.

Qualifications

Experience:
Generally requires 3 to 5 years of related experience.



Education:
High school diploma is required. Bachelor's degree in related field is strongly preferred.

License Certification:
Must possess a valid State of Florida Operator's license.



Knowledge Skill Abilities:
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. Knowledge and skill in use of job appropriate technology and software applications.

Physical Demands:
Job function is sedentary in nature and requires sitting for extended periods of time. Function may require frequent standing or walking. Must be able to lift or carry objects weighing up to 20 pounds. Jobs in this group are required to have close visual acuity to perform activities such as: extended use of computers, preparing and analyzing data and analytics, and other components of a typical office environment. Additional information and provision requests for reasonable accommodation will be provided by the home unit/department in collaboration with the Reasonable Accommodations Committee (RAC).

Work Environment:
Jobs in this group are required to function in a fast paced environment with occasional high pressure or emergent and stressful situations. Frequent interaction with a diverse population including team members, providers, patients, insurance companies and other members of the public. Function is subject to inside environmental conditions, with occasional outdoor exposures. Possible exposure to various environments such as: communicable diseases, toxic substances, medicinal preparations and other conditions common to a hospital and medical office environment. May wear Personal Protective Equipment (PPE) such as gloves or a mask when exposed to hospital environment outside of office. Reasonable accommodations can be made to enable people with disabilities to perform the described essential functions. Additional information and provision requests for reasonable accommodation will be provided by the home unit/department in collaboration with the Reasonable Accommodations Committee (RAC).