National Association of Latino Healthcare Executives ยท 7 hours ago
Financial Counselor (Bilingual)
Anaheim, CA
Full-time
Onsite
Mid LevelThe National Association of Latino Healthcare Executives is seeking a Financial Counselor who provides financial counseling to patients during personal interviews to establish payer sources for self-pay accounts. The role involves determining eligibility for financial assistance, coordinating with admissions, and guiding support staff in financial processes.
Health CareHospitalMedical
Responsibilities
Upholds Kaiser Permanentes Policies and Procedures, Principles of Responsibilities and applicable state, federal and local laws
Confidentially obtains or reviews and records patient financial and demographic information
Coordinates with inpatient/outpatient admission and registration for identification of potential alternate payer sources
Interviews patients to determine financial status, counsels and makes arrangements for direct payment, potential enrollment in a government sponsored program or direct billing to the patient
Completes Medical Financial Assistance applications based on analysis of patient financial information
Provides functional guidance to the support staff and informs support staff and physicians on new and revised processes
Acts as a patient/member advocate and uses knowledge of external and internal Social Services agencies for patient referral
Retrospectively reviews diagnosis and treatment records to identify potential Third Party Liability and Workers Compensation cases
Screens for potential eligibility for KP Membership through government programs (Medi-Cal, Medicare, transition plan, etc.)
Obtains pre-authorizations for services from employers and other insurance carriers
Coordinates and collects conversion dues for KP coverage
Checks patient information against updated eligibility using on-line systems (Foundations)
Places telephone call to the appropriate departments (CSC, Sales and Marketing etc.) in cases where group eligibility is not updated
Ensures that all documentation in the billable jackets is complete and obtains missing or needed information
Establishes and maintains courteous, cooperative relations with the public, patients, and other personnel
Performs other related duties as required
Qualification
Required
Bilingual in English and another language
Experience in financial counseling or related field
Knowledge of third party liability, Workers Compensation, Commercial, COB, Medicare and Medi-Cal
Ability to confidentially obtain and review patient financial and demographic information
Experience in coordinating with inpatient/outpatient admission and registration
Ability to interview patients to determine financial status
Experience in completing Medical Financial Assistance applications
Ability to provide functional guidance to support staff
Knowledge of external and internal Social Services agencies for patient referral
Ability to retrospectively review diagnosis and treatment records
Experience in screening for potential eligibility for KP Membership
Ability to obtain pre-authorizations for services from employers and other insurance carriers
Experience in coordinating and collecting conversion dues for KP coverage
Ability to check patient information against updated eligibility using online systems
Ability to establish and maintain courteous, cooperative relations with the public, patients, and other personnel
Company
National Association of Latino Healthcare Executives
The National Association of Latino Healthcare Executives is a hospital and healthcare organization.
Founded in 2005
11-50 employees
Funding
Current Stage
Early StageLeadership Team
Jackie Sifuentes, MBA, LSSYB
Co-Founder La Mesa Emerging Leaders Mentorship Program for Early Careerists
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