Financial Counselor

2 months ago

Baldwin Park, United States Kaiser Permanente Full time

Description: Under indirect supervision, at the point of service provides financial counseling to patients in a personal interview to create a payer source for Inpatient & Outpatient self-pay accounts. Identifies potential third party liability, Workers Compensation, Commercial, COB, Medicare & Medi-Cal. Provides functional direction to Business Service Representatives & Receptionists. Determines & approves Medical Financial Assistance & payment arrangements.Essential Functions:- Upholds KP's Policies & Procedures, Principles of Responsibilities & applicable state, federal & local laws- Confidentially obtains or reviews & records patient financial & demographic information- Coordinates w/ inpatient/outpatient admission & registration for identification of potential alternate payor sources- Interviews patients to determine financial status, counsels & makes arrangements for direct payment, potential enrollment in a government sponsored program or direct billing to the patient- Completes Medical Financial Assistance applications based on analysis of patient financial information- Provides functional guidance to the support staff & informs support staff & physicians on new & revised processes- Acts as a patient/member advocate & uses knowledge of external & internal Social Services agencies for patient referral- Retrospectively reviews diagnosis & treatment records to identify potential Third Party Liability & Workers Compensation cases- Screens for potential eligibility for KP Membership through government programs (Medi-Cal, Medicare, transition plan, etc)- Obtains pre-authorizations for services from employers & other insurance carriers- Coordinates & collects conversion dues for KP coverage- Checks patient information against updated eligibility using on-line systems (Foundations)- Places telephone call to the appropriate departments (CSC, Sales & Marketing, etc) in cases where group eligibility is not updated- Ensures that all documentation in the billable jackets is complete & obtains missing or needed information- Establishes & maintains courteous, cooperative relations w/ the public, patients & other personnel- Performs other related duties as required Basic Qualifications: Minimum of three (3) years of relevant experience in health care billing, collections or financial counseling or equivalent High School Diploma/GED Certificate of completion of a course in Medical Terminology Typing 35 WPM or as required by Medical Center Demonstrated ability in patient registration, admissions & billing practice required Ability to demonstrate knowledge of & to utilize Government Programs & alternate payor sources (Workers Compensation, TPL, COB, Commercial, etc) Notes: Working morning shifts, every other weekend and holidays. This is an on call position, days and hours may vary. Primary Location: California,Baldwin Park,Baldwin Park Hospital Scheduled Weekly Hours: 1 Shift: Day Workdays: Mon, Tue, Wed, Thu, Fri, Sat, Sun Working Hours Start: 12:00 AM Working Hours End: 11:59 PM Job Schedule: Call-in/On-Call Job Type: Standard Employee Status: Regular Employee Group/Union Affiliation: B01SEIULocal 399 Job Level: Individual Contributor Department: Baldwin Park Med Center - Admitting - 0801 Pay Range: $27.58 - $30.55 / hour The ranges posted above reflect the location in the job posting. The salary range may vary if you reside in a different location or state than the location posted. Travel: No At Kaiser Permanente, equity, inclusion and diversity are inextricably linked to our mission, and we aim to make it a part of everything we do. We know that having a diverse and inclusive workforce makes Kaiser Permanente a better place to receive health care, a more supportive partner in our communities we serve, and a more fulfilling place to work. Working at Kaiser Permanente means that you agree to and abide by our commitment to equity and our expectation that we all work together to create an inclusive work environment focused on a sense of belonging and wellbeing. Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status. Submit Interest Load More

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