Emergency Financial Representative, PT Nights

About the role

The Emergency Financial Representative ensures reimbursement to PIH Health from patients or other responsible parties, assists patients in understanding their health care insurance coverage, collects up-front POS collections, sets up financial arrangements, and assists patients in accessing programs like Medi-Cal, Uncompensated Care, and Hospital Presumptive Eligibility.

Responsibilities

• Assists patients in understanding their health care insurance coverage
• Ensures reimbursement to PIH Health from patients or other responsible parties
• Collects up-front POS collections
• Establishes payment arrangements for self-pay and high liability accounts
• Assists patients in accessing programs like Medi-Cal, Uncompensated Care, and Hospital Presumptive Eligibility
• Facilitates eligibility for Hospital Presumptive Eligibility qualifications when necessary
• Performs medical screening exams before interacting with patients
• Enhances registration and financial counseling skills
• Completes comprehensive training program and certification as required
• Maintains customer service standards, including non-violent crisis intervention (NCI) certification

Requirements

• Clear understanding of PIH Health mission and values
• Experience working directly with insurance companies, healthcare providers, and patients
• Experience generating revenue through POS collections, establishing payment arrangements, and collecting on self-pay and high liability accounts
• Knowledge of EMTALA and experience with it
• Attention to detail and follow-up processes
• Effective communication and tactfulness with patients, healthcare providers, and insurance companies
• Excellent English reading, comprehension, and written skills, including spelling and penmanship
• Strong mathematical skills for calculating copays and financial estimates
• Ability to type 45+ words per minute and use MS office programs
• Organizational skills to handle multiple tasks in a fast-paced environment
• Independent judgment and decision-making abilities
• Bilingual proficiency preferred
• Interacts with all levels of hospital and outside vendor staff
• Knowledge of government regulations and privacy policies
• Experience in front office/medical billing, hospital registration/admitting, insurance verification, and medical/hospital billing
• High school diploma or equivalent, with preference for 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
• Experience with IPA knowledge and medical terminology
• Excellent communication skills
• Flexibility to adapt to changes and problemsolving abilities

Qualifications

• Two years of experience in front office/medical billing and/or hospital registration/admitting
• Two years of experience in insurance verification and/or medical/hospital billing
• High school diploma or equivalent, with preference for 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
• Experience with IPA knowledge and medical terminology

Skills

• Graceful, empathetic, and respectful customer service
• Non-Violent Crisis Intervention (NCI) Certification within 3 months of hire date

Benefits

PIH Health offers competitive compensation and benefits, including:

• Salary range: $23.00 - $33.78 per hour
• Flexible schedule options including nights

Pay

$23.00 - $33.78 per hour

Schedule

Nights

Address

12401 Washington Blvd.

Zip Code

90602