Administrative Financial Coordinator

3 days ago


Los Angeles, California, United States vTech Solution Full time
Job Summary

The Financial Services Representative will be responsible for ensuring reimbursement to PIH Health from patients or other responsible parties, as well as assisting patients in understanding their healthcare insurance coverage by determining eligibility, benefits, and utilization requirements.

Key Responsibilities
  • Verify patient insurance coverage and determine eligibility for financial assistance programs.
  • Collect upfront payments from patients and secure their accounts by setting up financial arrangements.
  • Assist patients in accessing programs such as Medi-Cal, Uncompensated Care, and Hospital Presumptive Eligibility.
  • 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.
  • Enhance registration and financial knowledge and skill set required and expected of this role, inclusive of diverse financial programs offered at PIH Health.
Requirements
  • 2+ years of experience in front office/medical billing and/or current hospital registration/admitting, with some registration experience required.
  • 2+ years of experience in insurance verification and/or medical/hospital billing.
  • High school graduate or equivalent required.
  • Knowledge of eligibility requirements for Medi-Cal, Hospital Presumptive Eligibility Program, Medicare, Covered California, Cobra, limited benefit plans, VVC, and Uncompensated Care Programs.
  • IPA and EMTALA knowledge and experience.
  • Stringent adherence to all HIPAA laws.
  • Medical terminology.
  • Strong typing skills, 45 wpm or higher required.
  • Non-Violent Crisis Intervention (NCI) Certification within three months of hire date.
  • LA City Fire Card within six months of employment (PIHGS Only).
Preferred Qualifications
  • Evidence of continuing education in Finance, Accounting, or Business Administration.
  • Bilingual.
Productivity Expectations

Complete a minimum of 20 registrations per 8-hour shift, with a goal of 30+ registrations, including scanning documents, insurance verification, and securing upfront collections.

Verify patients are appropriately medically screened and stabilized before Consent of Admissions is signed/discussed and liability is requested.



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