National Association of Latino Healthcare Executives ยท 19 hours ago
Financial Counselor
Los Angeles, CA
Full-time
Onsite
Mid LevelThe National Association of Latino Healthcare Executives is seeking a Financial Counselor to provide financial counseling to patients and create payer sources for self-pay accounts. The role involves identifying potential third-party liabilities and providing guidance to support staff while ensuring compliance with policies and regulations.
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
Under indirect supervision, at the point of service provides financial counseling to patients in a personal interview to create a payer source for Inpatient and Outpatient self-pay accounts
Identifies potential third party liability, Workers Compensation, Commercial, COB, Medicare and Medi-Cal
Provides functional direction to Business Service Representatives and Receptionists
Determines and approves Medical Financial Assistance and payment arrangements
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
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
Company data provided by crunchbase