Palomar Health · 16 hours ago
Financial Rep Access Dept
Palomar Health is a healthcare organization seeking a Financial Representative for their Access Department. The role involves serving as the first contact for patients regarding funding sources, obtaining necessary information for patient admissions, and collaborating with various departments to resolve financial issues related to patient care.
FitnessHealth CareHospitalityMedical
Responsibilities
Serves as the first contact for patients and families regarding funding sources for inpatient and outpatient services
Responsible for the day to day activities of obtaining funding for patients in the statuses of scheduling, pre-registration, registration, or post registration as assigned
Screens all admissions on a daily basis and educates referring physicians offices, patients and their families on hospital policy and procedures regarding various methods of payment source for services rendered
This may include advising applicable admits of pre-payment deposits and monthly payment arrangements
Obtains and documents information that appropriately designates current funding information and/or provides information on available funding sources if the patient/family does not have current sources
Works in collaboration with all departments and units in the revenue cycle to appropriately communicate issues and/or barriers, and to formulate work plans for resolution
Obtains appropriate up front collection on all self pay accounts as well as co-pays, deductibles, and co-insurance as identified in information provided by the patient's insurance card or through the eligibility and verification process
Screen the patient for possible other 3rd party and charity eligibility and keep up-to-date on admission/business office insurance procedures
Adept at utilizing payer resources and web sites to accurately explore and assess eligibility and successfully initiate referrals for MediCal/CMS/CCS
Appropriately administers the Palomar Health Financial Assistance Policy and Procedures to determine if the patient is eligible for discounted prices for services or is eligible for charity care designation
Well versed in policy and procedure that pertains to AB774 and is able to assist the patient/family in determining if they qualify based on federal poverty guidelines
Responsible for careful financial evaluation of all admissions, taking appropriate steps that are most beneficial to the hospital, while giving the proper level of consideration to the patient
Must be firm and decisive, yet courteous, tactful, considerate and show concern and empathy for the patient/family under often stressful situations
Must be keen, alert and have the ability to effectively communicate with people from various education backgrounds
Must have the knowledge and confidence to make decisions regarding methods of payment and have the ability to work with frequent interruptions
Speak and read English at a level that is sufficient to satisfactorily perform the essential functions of the position
Knowledge of standard office equipment (i.e., calculator, fax, photocopier) and personal computer and computer software skills (i.e., MS Windows, Excel, Access, Word, Powerpoint, internet, e-mail)
Windows computer skills including proficient use of keyboarding, use of mouse or keys for functions such as selecting items, use of drop down menus, scroll bars, opening folders, copying and similar operations required upon employment or within the 1st two weeks of employment to perform the essential functions of the job
Performs other duties as assigned
Follows Palomar Health rules, policies, procedures, applicable laws and standards
Carries out the mission, vision, and quality commitment of Palomar Health
Qualification
Required
High School Diploma and/or combination of education and experience
2 years Patient Access and/or Patient Financial Services experience assisting patients with insurance and government funded programs
Bilingual (Spanish)
Speak and read English at a level that is sufficient to satisfactorily perform the essential functions of the position
Knowledge of standard office equipment (i.e., calculator, fax, photocopier) and personal computer and computer software skills (i.e., MS Windows, Excel, Access, Word, Powerpoint, internet, e-mail)
Windows computer skills including proficient use of keyboarding, use of mouse or keys for functions such as selecting items, use of drop down menus, scroll bars, opening folders, copying and similar operations required upon employment or within the 1st two weeks of employment to perform the essential functions of the job
Preferred
High School Diploma and/or combination of education and experience plus 1 year healthcare-related experience or basic college/medical coursework to learn medical terminology
3+ years Patient Access and Patient Financial Services experience assisting patients with insurance and government funded programs, including experience related to billing and payment of government funded health plans
Certified Healthcare Access Associate (NAHAM) or equivalent
Company
Palomar Health
Palomar Health are the largest public health system offering medical service.
Funding
Current Stage
Late StageTotal Funding
$50MKey Investors
Department of Health Care Services
2025-05-19Grant· $50M
Leadership Team
Recent News
EIN Presswire
2025-11-21
Company data provided by crunchbase