Emergency Financial Representative, FT Nights

About the role

The Emergency Financial Representative 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, and utilization requirements. Responsibilities include up-front point-of-service (POS) collections, financially securing patient accounts by setting up appropriate financial arrangements, and assisting patients in accessing programs such as Medi-Cal, Uncompensated Care, and Hospital Presumptive Eligibility.

This role focuses on individual performance in registration and financial counseling, Key Performance Indicators, and expediting approvals by completing forms before patient discharge from the Emergency Department. Interaction with patients occurs only after a medical screening exam has been performed, regardless of insurance coverage or ability to pay.

The Emergency Financial Representative will complete a comprehensive training program and certification to facilitate eligibility for Hospital Presumptive Eligibility qualifications when necessary.

Responsibilities

• Determine patient eligibility, benefits, and utilization requirements for health care insurance coverage.
• Perform up-front POS collections and establish payment arrangements to avoid bad debt.
• Assist patients in accessing financial programs such as Medi-Cal, Uncompensated Care, and Hospital Presumptive Eligibility.
• Gather and complete forms to expedite approvals before patient discharge from the Emergency Department.
• Enhance registration and financial knowledge, including understanding diverse financial programs offered at PIH Health.
• Communicate effectively and tactfully with patients, healthcare providers, and insurance companies.
• Adhere to all privacy policies and procedures, including HIPAA Security and Privacy Rules.
• Exercise independent judgment in emergency situations.

Requirements

• High School Diploma or GED required.
• 2 years of experience in front office/medical billing and/or current hospital registration/admitting preferred.
• 2 years of experience in insurance verification and/or medical/hospital billing preferred.
• EPIC EHR experience preferred.

Skills

• Clear understanding of PIH Health mission and values.
• Ability to work directly with insurance companies, healthcare providers, and patients.
• Revenue generation through POS collections, establishing payment arrangements, and collecting on Self-Pay/high liability accounts.
• EMTALA knowledge and experience.
• Attention to detail and strong follow-up process.
• Excellent English reading, comprehension, written skills, and penmanship.
• Strong mathematical skills to calculate copays, percentages, and establish payment arrangements accurately.
• Ability to follow directions as outlined in policies or given by supervisor.
• Strong computer skills, including typing 45+ WPM and proficiency in MS Office programs.
• Excellent organizational skills and ability to multi-task in a fast-paced, high-pressure environment.
• Stringent adherence to privacy policies and procedures, including HIPAA.
• Bilingual preferred.
• Knowledge of government regulations and ability to interact with all levels of hospital staff and outside vendors.

Pay

$23.00–$33.78 per hour.

Schedule

Nights.

Location

1225 Wilshire Boulevard, Los Angeles, CA 90017.