Financial Administrative Representative

Financial Administrative RepresentativeLocation: Whittier, CA (90602)Duration: 13 weeksWorking Schedule: Evening (5x8 Hours) 15:00 - 23:30 (Rotating Weekends and Holidays)Job Summary:The Emergency Financial Representative is responsible for ensuring reimbursement to client from patients or other responsible parties along with assisting patients in understanding their health care insurance coverage by determining eligibility, benefits, and utilization requirements. Responsible for up-front POS collections, along with financially securing patients accounts by setting up appropriate financial arrangements with patients to avoid bad debt. When appropriate assists patients in accessing programs such as Medi-Cal, Uncompensated Care, and Hospital Presumptive Eligibility.

Emergency Financial Representative will 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. 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 programs offered. Interaction with patients will only transpire after a medical screening exam has been performed.

All patients are seen regardless of their insurance coverage or their ability to pay. The Emergency Financial Representative will complete the comprehensive training program and certification as required to facilitate eligibility for Hospital Presumptive Eligibility qualifications when necessary.Requirements:Minimum High School Diploma or GEDPreferred - Evidence of continuing education in Finance, Accounting or Business Administration2 years experience in front office/medical billing and/or current hospital registration/admitting2 years experience in insurance verification and/or medical/hospital billingEPIC EHR experienceSkills:Demonstrates a clear understanding of PIH Health mission and valuesAbility to work directly with the insurance company, healthcare provider, and patientsAbility to generate revenue with POS collections, establishing payment arrangements, along with collecting on all Self-Pay and/or high liability accounts at the point of registration.EMTALA knowledge and experienceDemonstrates attention to detail and follow up processDemonstrates ability to communicate effectively and tactfully with patients, healthcare providers and insurance companiesExcellent English reading, comprehension, and written skills to include spelling skills and penmanshipExcellent Mathematical skills: ability to calculate copay or percentage of financial estimate amount due and/or establish payment arrangements accurately.Ability to follow directions as outlined in policies or given by supervisorStrong computer skills to include typing 45+ wpm minimum and in MS office programsExcellent organizational skillsAbility to exercise independent judgment at times of need and emergency situationsBilingual preferredInteracts with all levels of hospital and outside vendor staff and knowledge of government regulationsAbility to multi-task in a fast and high-pressure environmentStringent 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 RulesStrong analytical skills, problem solving. The ability to act and decide accordinglyKnowledge of eligibility requirements for Medi-Cal, Hospital Presumptive Eligibility Program, Medicare, Covered California, Cobra, limited benefit plans, VVC and Uncompensated Care Programs.