Chinese Hospital · 3 months ago
Patient Financial Advisor
San Francisco, CA
Full-time
Onsite
New Grad, Entry Level
$30.98/hr - $38.12/hrChinese Hospital is a healthcare provider located in the San Francisco Bay Area, seeking a Patient Financial Advisor. The role involves offering financial advice to patients regarding medical bills, coordinating payments with insurance companies, and ensuring appropriate reimbursement resources are in place.
Health CareHospitalNon Profit
Responsibilities
PFA shall ensure that appropriate reimbursement resources are in place for services provided
If patients are registered without insurance coverages, PFA will actively screen all inpatients and outpatients for other insurance coverages
Verification of demographic and insurance information provided, as well as third party insurances
Accurate and timely determination of payer and patient liability, and notifications and initial authorizations required
Validate that required authorizations/notifications are obtained for hospital stay and outpatient services
Adherence to government and non-government program requirements
Effectively communicating with patients as to benefits, program requirements, personal payment liabilities, and options for care and placement that allow for informed decisions by the patient and his/her family while protecting the financial interest of Chinese Hospital Association
Provides information regarding self-pay discounts when no other options are available, sets up payment arrangements as needed
Discusses patient financial liability for services rendered and collects as applicable for those services
Assist eligible patients in the application of Hospital Presumptive Eligibility (HPE), Full Scope Medi-Cal, and referrals to other insurance coverages if not qualifying for Medi-Cal
Apply Treat Authorization Requirement (TAR) for all eligible accounts
Review all assigned DNFB for appropriate billing actions
Communicate with patients and insurance companies on the phone
Appropriately document and report payment information
Advises patients and/or family members and Case Management (as applicable) of insurance benefits, exclusions and financial obligations. Determines primary coverage when multiple insurances are involved, collects and verifies insurance eligibility as it applies to services rendered, collects payments, deposits and/or arranges for payment plans if necessary
Educate patients about payment options and financial assistance
Negotiate and strategize patient payment arrangements
Update patient accounts and balances
Review and process patient and insurance company forms
Work with pharmacies and pharmacy insurance programs to make sure prescribed medications are covered by the patient’s financial resources
Provide proper documentation to patient’s insurance company to ensure coverage
Communicate with CHA’s 3rd party billing to ensure claims are handled efficiently
Ensure all Infusion accounts are pre-admitted, registered and financially cleared
Work with front registration during normal business hours to effectively capture uninsured/underinsured patients for financial assistance. If during off hours, PFA will reach out to the patients the next business day
Follows Hospital and Department policies and procedures at all times, including but not limited to: Administrative Manual, Environment of Care, Human Resources, Infection Control, Corporate Compliance, Code of Ethics, etc
Attend, actively participate and complete in-services, training classes, mandatory classes, seminars/workshops, staff meetings, exercises and drills; reads all department communication and assigned materials
Customer Service – Provides excellent customer service and shows compassion to all patients, visitors and co-workers. Seeks feedback to ensure all needs are met. Anticipates and recognizes the concerns of others, even if those concerns are not openly expressed
Communication – Keeps manager and team informed of progress, problems, development and plans. Gets along and interacts positively with co-workers and others
Accepts and performs other duties as assigned
Qualification
Required
Medical Office Experience
Computer proficiency (EMR knowledge a plus)
Effective communication skills to work with patients, families, doctors and insurance providers
Strong Customer Service
Ability to effectively present information, both verbal and written
Ability to take initiative, adapt to changing priorities, and work independently
Strong time management and prioritization skills
Knowledge of Medical Terminology including medications
Preferred
High School Diploma or GED
Bilingual in Chinese (Cantonese and/or Mandarin) or Spanish
Knowledge of community resources and cultural needs
Company
Chinese Hospital
Chinese Hospital is a non-profit community hospital offering a wide range of medical, surgical, and specialty care to the community.
Founded in 1925
501-1000 employees
Funding
Current Stage
Late StageTotal Funding
$103MKey Investors
Poppy Bank
2022-01-27Debt Financing· $103M
Leadership Team
Dr. Jian Zhang DNP, MS, FNP-BC, NEA-BC, FAAN
Chief Executive Officer
Antonia (Nia) Lendaris, MSN, CNS, RN
Chief Nursing and Operations Officer
Recent News
San Francisco Business Times
2025-03-13
Company data provided by crunchbase