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PIH Health · 3 days ago

Financial Counselor, FT Days

Whittier, CA

Full-time

Onsite

Entry Level

$21/hr - $33.78/hr

2+ years exp

PIH Health is a nonprofit, regional healthcare network that serves approximately 3 million residents in the Los Angeles County, Orange County and San Gabriel Valley region. The Financial Counselor is responsible for ensuring reimbursement from patients and assisting them with understanding their health insurance coverage, while also focusing on collections and financial arrangements to avoid bad debt.

Health Care

Responsibilities

Ensures reimbursement to PIH Health from patients or other responsible parties

Assists patients in understanding their health care insurance coverage

Determines eligibility, benefits, authorization and utilization requirements and patient liability for specific department(s)

Responsible for up-front collections and securing patients accounts

Sets up appropriate financial arrangements with patients to avoid bad debt

Notifies patients of programs such as Medi-Cal, VVC, Uncompensated Care, Cobra coverage, Covered California and Hospital Presumptive Eligibility

Focuses on individual performance, Key Performance Indicators and expediting approvals

Gathers and completes forms before the patient is discharged

Enhances registration and the fundamental financial knowledge and skill set required and expected of this role

Qualification

Medical billing experienceInsurance verification experienceLegal compliance knowledgeBilingual preferredAnalytical skillsMathematical skillsComputer skillsCommunication skillsAttention to detailOrganizational skills

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 payment arrangements, collecting on accounts; monitoring and pursuing delinquent accounts

Legal Compliance knowledge and experience

Demonstrated attention to detail and follow up process

Demonstrated ability to communicate effectively and tactfully with patients, healthcare providers and insurance company

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

Excellent Mathematical skills; ability to calculate and manage account figures and financial data

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

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

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

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

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

High school graduate required or equivalent

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