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Financial Counselor

2 months ago

Baldwin Park, California, United States Kaiser Permanente Full time
Job Summary:

As a Financial Counselor at Kaiser Permanente, you will play a critical role in providing exceptional patient care by identifying and resolving financial barriers to care. Under indirect supervision, you will work with patients to create a payer source for Inpatient and Outpatient self-pay accounts, ensuring that patients receive the care they need without undue financial burden.

Key Responsibilities:
  • Uphold Kaiser Permanente's policies and procedures, principles of responsibilities, and applicable state, federal, and local laws.
  • Confidentially obtain or review and record patient financial and demographic information.
  • Coordinate with inpatient/outpatient admission and registration to identify potential alternate payer sources.
  • Interview patients to determine financial status, counsel, and make arrangements for direct payment, potential enrollment in a government-sponsored program, or direct billing to the patient.
  • Complete Medical Financial Assistance applications based on analysis of patient financial information.
  • Provide functional guidance to support staff and inform support staff and physicians on new and revised processes.
  • Act as a patient/member advocate and use knowledge of external and internal Social Services agencies for patient referral.
  • Retrospectively review diagnosis and treatment records to identify potential Third Party Liability and Workers Compensation cases.
  • Screen for potential eligibility for KP Membership through government programs (Medi-Cal, Medicare, transition plan, etc.).
  • Obtain pre-authorizations for services from employers and other insurance carriers.
  • Coordinate and collect conversion dues for KP coverage.
  • Check patient information against updated eligibility using online systems (Foundations).
  • Place telephone calls to the appropriate departments (CSC, Sales and Marketing, etc.) in cases where group eligibility is not updated.
  • Ensure that all documentation in the billable jackets is complete and obtain missing or needed information.
  • Establish and maintain courteous, cooperative relations with the public, patients, and other personnel.
Requirements:
  • Minimum of three (3) years of relevant experience in Healthcare billing, collections, or Financial Counseling or equivalent.
  • Typing 35 WPM or as required by Medical Center.
  • Ability to demonstrate knowledge of and to utilize Government Programs and alternate payer sources (Workers Compensation, TPL, COB, Commercial, etc.).
  • Demonstrated ability in patient registration, admissions, and billing practice required.
Preferred Qualifications:
  • Working evening shifts starting at 3pm-1130pm or 6pm-0230am.
  • Working every other weekend and holidays.
  • Mon-Sun; Variable.
  • This is an on-call position, days and hours may vary.