Non-Clinical - Administrative - Financial Administrative Representative

Financial Counselor ROTATING WEEKENDS REQUIRED!PLEASE NOTE THAT ORIENTATION OURS MAY DIFFERENT FROM SHIFT HOURSPOSITION SUMMARYThe Financial Counselor ensures reimbursement to PIH Health from patients or other responsible parties and assists patients in understanding their health care insurance coverage by determining eligibility, benefits, authorization and utilization requirements and patient liability for specific department(s). The Financial Counselor is responsible for up-front collections and securing patients accounts by setting up appropriate financial arrangements with patients to avoid bad debt. The Financial Counselor, when appropriate, notifies patients of programs such as Medi-Cal, VVC, Uncompensated Care, Cobra coverage, Covered California and Hospital Presumptive Eligibility. Financial Counselors will focus on individual performance, Key Performance Indicators and expediting approvals by gathering and completing forms before the patient is discharged. Financial Counselors will continue to enhance their registration and the fundamental financial knowledge and skill set required and expected of this role, which is inclusive of the diverse financial program offered at PIH Health. ED & Urgent LDRP: Interaction with patients will only happen after a medical screening exam has been performed. All patients are seen regardless of their insurance coverage or their ability to pay. EDUCATION/EXPERIENCE/TRAININGREQUIRED
• 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, prefer evidence of continuing education in Finance, Accounting or Business Administration
• 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.ALL RTO MUST BE ON THE INITIAL SUBMITTAL. PLEASE ENSURE THAT RTO IS INCLUSIVE OF ALL TIME OFF NEEDED FOR ENTIRE LENGTH OF CONTRACT!