Financial Counselor, FT Days at PIH Health

The Financial Counselor 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 authorization and utilization requirements and patient liability for specific department(s). The Financial Counselor is responsible for up-front collections and securing patients accounts by setting up appropriate financial arrangements with patients to avoid bad debt. The Financial Counselor when appropriate notifies patients of programs such as Medi-Cal VVC Uncompensated Care Cobra coverage Covered California and Hospital Presumptive Eligibility. Financial Counselors will focus on individual performance Key Performance Indicators and expediting approvals by gathering and completing forms before the patient is discharged. Financial Counselors 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 program offered at PIH Health. ED & Urgent LDRP: Interaction with patients will only happen after a medical screening exam has been performed. All patients are seen regardless of their insurance coverage or their ability to pay.PIH Health is a nonprofit regional healthcare network that serves approximately 3 million residents in the Los Angeles County Orange County and San Gabriel Valley region. The fully integrated network is comprised of 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 and hospice care as well as heart cancer digestive health orthopedics womens health urgent care and emergency services. The organization is nationally recognized for excellence in patient care and patient experience and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nations top hospital systems for best practices cutting-edge advancements quality of care and healthcare technology. For more information visit or follow us on Facebook Twitter or Instagram.Required SkillsDemonstrates a clear understanding of PIH Health mission and valuesAbility to work directly with the insurance company healthcare provider and patientsAbility to generate revenue with payment arrangements collecting on accounts; monitoring and pursuing delinquent accounts.Legal Compliance knowledge and experienceDemonstrated attention to detail and follow up processDemonstrated ability to communicate effectively and tactfully with patients healthcare providers and insurance companyExcellent English reading comprehension and written skills to include spelling skills and penmanshipExcellent Mathematical skills; ability to calculate and manage account figures and financial dataAbility 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 regulationsStrong analytical skills problem solving. The ability to act and decide accordingly.Stringent adherence to all privacy policies and procedures and as required by state and federal law including and not limited to the HIPAA Security and Privacy Rules Key Skills Financial Services,Financial Models,Account Management,General Ledger Accounts,ERP,Payroll,External Auditors,Customer Relationships,Credit Card,Financial Statements,Business Units,Annual Budget,Income,New Clients,Financial Management Employment Type : Unclear Experience: years Vacancy: 1 Monthly Salary Salary: 21 - 33