Mission Community Hospital · 16 hours ago
Financial Counselor
Panorama City, CA, 91402, US
Full-time
Onsite
Entry, Mid Level
2+ years expMission Community Hospital is seeking a Financial Counselor for their Emergency Department. The primary responsibility of this role is to ensure that all Emergency Department visits are reimbursable by conducting financial screenings, verifying insurance eligibility, and assisting patients with payment arrangements and eligibility for government programs.
Health CareNon ProfitWellness
Responsibilities
Responsible for conducting a financial screening and interview with the patient and/or family, after the Medical Assessment has been done
Responsible for Insurance Verification for all Emergency Department accounts. Ensures that all insurance eligibility and benefits are verified, and patient is aware of all liability. Deductible, Co-insurance, Copays and No Surprise Billing are documented in Paragon and explained to the patient prior to discharge
Responsible for obtaining insurance authorization from Insurance Companies and/or Managed Care providers; obtains the necessary authorization, tracking and/or reference numbers to certify the hospital Emergency Admission to Inpatient/BHU
Facilitates and assists with determining Medi-cal eligibility. Prescreens patient for possible Medi-cal linkage. Refers patient to RISARC and the Inpatient Financial Counselor for Medi-cal appointments
Facilitates and assists with determining Charity eligibility and applications
Facilitates and assists with Cash Flat Rates for Emergency Room & Inpatients
Facilitates Monthly Payment Plans for self-pay contracts, deductibles and or co-payments
Maintains accurate and complete patient registration logs for the Admitting Department
Responsible for training and development of Registration staff to obtain accurate and timely financial/demographic information on all patients
Promptly reports all mal-functioning equipment to support services
Performs daily audits of Emergency Department accounts, checks all accounts for accuracy, eligibility, and completion
Interfaces with physicians, staff and community in a professional manner to ensure quality of service and promote patient/guest relations. Develop and maintain good working relationships with staff of physician offices
Interprets and explains State, Federal and Hospital policies to patients/ family in a way that they can understand and feel respected
Willing to assist coworkers and peers in order to improve department or organizational process
Flexible with shifts as emergencies arise, able to work overtime when required
Qualification
Required
At least 2-3 years of experience in Financial Counseling in a hospital setting is preferred
Working knowledge of insurance reimbursement, Medicare, Medi-cal, HMO, PPO and third party is essential
Familiar with Hospital Patient Registration policies and procedures, previous experience desired
Knowledge of Medical Terminology
Employees must obtain his/her AVIP (Advanced Violence Intervention & Prevention) and or Fire Card course within first 60 days of employment
Employees are required to attend and AIDET Training class
Preferred
Bilingual in English and Spanish is preferred but not required
Company
Mission Community Hospital
Mission Community Hospital is a nonprofit organization that offers medical, surgical, psychiatric and 24/7 emergency room care services.
201-500 employees
Funding
Current Stage
Growth StageLeadership Team
James Theiring
Chief Executive Officer
Company data provided by crunchbase