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PIH Health · 1 day ago

Emergency Financial Representative, FT Nights

LA Metro Area

Full-time

Onsite

Entry, Mid Level

$21/hr - $33.78/hr

2+ years exp

PIH Health is a nonprofit regional healthcare network serving millions in the Los Angeles area. The Emergency Financial Representative is responsible for ensuring reimbursement from patients and assisting them with understanding their healthcare insurance coverage, while also managing up-front collections and financial arrangements to avoid bad debt.

Health Care

Responsibilities

Ensuring reimbursement to PIH Health from patients or other responsible parties

Assisting patients in understanding their health care insurance coverage by determining eligibility, benefits and utilization requirements

Managing up-front POS collections and financially securing patients accounts by setting up appropriate financial arrangements with patients

Assisting patients in accessing programs such as Medi-Cal, Uncompensated Care, and Hospital Presumptive Eligibility

Focusing on individual performance in registration and financial counseling, Key Performance Indicators and expediting approvals by gathering and completing forms before the patient is discharged from the Emergency department

Enhancing registration and fundamental financial knowledge and skill set required and expected of this role, which is inclusive of the diverse financial programs offered at PIH Health

Maintaining graceful, empathetic and respectful customer service at all times

Completing the comprehensive training program and certification as required to facilitate eligibility for Hospital Presumptive Eligibility qualifications when necessary

Qualification

Insurance verificationMedical billingMedi-Cal knowledgeMathematical skillsEMTALA knowledgeComputer skillsOrganizational skillsBilingualCustomer serviceCommunication skillsAttention to detailProblem solving

Required

Demonstrates a clear understanding of PIH Health mission and values

Ability to work directly with the insurance company, healthcare provider, and patients

Ability to generate revenue with POS collections, establishing payment arrangements, along with collecting on all Self-Pay and/or high liability accounts at the point of registration

EMTALA knowledge and experience

Demonstrates attention to detail and follow up process

Demonstrates ability to communicate effectively and tactfully with patients, healthcare providers and insurance companies

Excellent English reading, comprehension and written skills to include spelling skills and penmanship

Excellent Mathematical skills; ability to calculate copay or percentage of financial estimate amount due and/or establish payment arrangements accurately

Ability to follow directions as outlined in policies or given by supervisor

Strong computer skills to include typing 45+ wpm minimum and in MS office programs

Excellent organizational skills

Ability to exercise independent judgment at times of need and emergency situations

Interacts with all levels of hospital and outside vendor staff and knowledge of government regulations

Ability to multi-task in a fast and high pressure environment

Stringent adherence to all privacy policies and procedures and as required by state and federal law including and not limited to the HIPPA Security and Privacy Rules

Minimum of two year experience in front office/medical billing and/or current hospital registration/admitting

Minimum of two year experience in insurance verification and/or medical/hospital billing

High school graduate required or equivalent, prefer evidence of continuing education in Finance, Accounting or Business Administration

Knowledge of eligibility requirements for Medi-Cal, Hospital Presumptive Eligibility Program, Medicare, Covered California, Cobra, limited benefit plans, VVC and Uncompensated Care Programs. IPA knowledge

Medical terminology required

Excellent communication skills

Demonstrate flexibility in adapting to change

Strong analytical skills, problem solving. The ability to act and decide accordingly

Graceful, empathetic and respectful customer service at all times

Non-Violent Crisis Intervention (NCI) Certification within 3 months of hire date is required