Emergency Financial Representative, FT Nights

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

• Financially secure patients accounts by setting up appropriate financial arrangements with patients to avoid bad debt.
• Assist patients in understanding their health care insurance coverage by determining eligibility, benefits, and utilization requirements.
• Focus 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.
• Enhance registration and fundamental financial knowledge and skill set required and expected of this role, inclusive of diverse financial programs offered at PIH Health.
• Complete comprehensive training program and certification as required to facilitate eligibility for Hospital Presumptive Eligibility qualifications when necessary.
• Maintain graceful, empathetic, and respectful customer service at all times.

Requirements

• Clear understanding of PIH Health mission and values.
• Work directly with insurance company, healthcare provider, and patients.
• Generate revenue with POS collections, establishing payment arrangements, and collecting on all Self-Pay and/or high liability accounts at the point of registration.
• EMTALA knowledge and experience.
• Demonstrates attention to detail and follow up process.
• Communicate effectively and tactfully with patients, healthcare providers, and insurance companies.
• Excellent English reading, comprehension, and written skills, including spelling skills and penmanship.
• Excellent mathematical skills, able to calculate copay or percentage of financial estimate amount due and/or establish payment arrangements accurately.
• Exercise independent judgment at times of need and emergency situations.
• Strong computer skills, including typing 45+ wpm minimum and in MS office programs.
• Excellent organizational skills.
• Multi-task in a fast and high-pressure environment.
• Stringent adherence 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

• 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.
• High school graduate 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.
• Flexibility in adapting to change.
• Strong analytical skills, problem-solving abilities.

Skills

• Bilingual preferred.
• Interacts with all levels of hospital and outside vendor staff.
• Knowledge of government regulations.
• Ability to multi-task in a fast and high-pressure environment.

Benefits

PIH Health offers a competitive salary range of $23.00 - $34.96 per hour.

Pay

$23.00 - $34.96 per hour

Schedule

Nights