Emergency Financial Representative, FT Days

About the role

The Emergency Financial Representative is responsible for ensuring reimbursement to PIH Health from patients or other responsible parties, assisting patients in understanding their health care insurance coverage, up-front POS collections, securing patients accounts, and assisting patients in accessing programs like Medi-Cal, Uncompensated Care, and Hospital Presumptive Eligibility.

Responsibilities

• Assists patients in understanding their health care insurance coverage by determining eligibility, benefits, and utilization requirements.
• Ensures reimbursement to PIH Health from patients or other responsible parties.
• Financially secures patients accounts by setting up appropriate financial arrangements with patients to avoid bad debt.
• Assists patients in accessing programs such as Medi-Cal, Uncompensated Care, and Hospital Presumptive Eligibility.
• Focuses on individual performance in registration and financial counseling, key performance indicators, and expediting approvals by gathering and completing forms before the patient is discharged from the Emergency department.
• Enhances registration and fundamental financial knowledge and skill set required and expected of this role, inclusive of diverse financial programs offered at PIH Health.
• Maintains graceful, empathetic, and respectful customer service at all times.
• Completes comprehensive training program and certification as required to facilitate eligibility for Hospital Presumptive Eligibility qualifications when necessary.

Requirements

• Demonstrates a clear understanding of PIH Health mission and values.
• Works directly with the insurance company, healthcare provider, and patients.
• Generates revenue with POS collections, establishes payment arrangements, collects on all Self-Pay and/or high liability accounts at the point of registration.
• Has EMTALA knowledge and experience.
• Demonstrates attention to detail and follow-up process.
• Communicates effectively and tactfully with patients, healthcare providers, and insurance companies.
• Has excellent English reading, comprehension, and written skills, including spelling skills and penmanship.
• Has excellent mathematical skills, able to calculate copay or percentage of financial estimate amount due and/or establish payment arrangements accurately.
• Exercises independent judgment at times of need and emergency situations.
• Has strong computer skills, including typing 45+ wpm minimum and in MS office programs.
• Has excellent organizational skills.
• Exercises independent judgment at times of need and emergency situations.
• Bilingual preferred.
• Interacts with all levels of hospital and outside vendor staff.
• Knowledge of government regulations.
• Multi-tasks in a fast and high-pressure environment.
• Adheres to all privacy policies and procedures and as required by state and federal law, including and not limited to the HIPPA Security and Privacy Rules.

Qualifications

• High school graduate required or equivalent.
• Prefer evidence of continuing education in Finance, Accounting, or Business Administration.
• Minimum of two years experience in front office/medical billing and/or current hospital registration/admitting.
• Minimum of two years experience in insurance verification and/or medical/hospital billing.
• EPIC EHR experience preferred.

Skills

• Non-Violent Crisis Intervention (NCI) Certification within 3 months of hire date is required.

Benefits

PIH Health is a nonprofit, regional healthcare network serving approximately 3 million residents in the Los Angeles County, Orange County, and San Gabriel Valley regions. The fully integrated network includes PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services, hospice care, heart, cancer, digestive health, orthopedics, women’s health, urgent care, and emergency services. The organization is nationally recognized for excellence in patient care and patient experience, and CHIME has identified PIH Health as one of the nation’s top hospital systems for best practices, cutting-edge advancements, quality of care, and healthcare technology.

Pay

$23.00 - $34.96 per hour

Schedule

N/A

Address

12401 Washington Blvd.

Zip Code

90602