Patient Financial Counselor

5 hours ago

Richmond, Virginia, United States Kaiser Permanente Full time
Job Summary:
As a Patient Financial Advisor at Kaiser Permanente, you will play a vital role in ensuring that patients receive personalized care while navigating their financial obligations. This position requires a professional with excellent communication skills, attention to detail, and the ability to work independently. Your primary responsibility will be to identify and secure financial sponsorship for patients, determining their cost share obligation while ensuring compliance with federal, state, and local regulations. You will work closely with patients, their families, and KP staff to create a positive customer experience. Your expertise will be essential in providing consultation on referrals to outside agencies or the Medical Financial Assistance and Discount Payment (MFAP) program. You will also be responsible for interviewing patients regarding possible workers' compensation coverage, coordination of benefits, and third-party liability. Additionally, you will interact with clinical staff to obtain pertinent information while protecting patient confidentiality. Your analytical skills will be crucial in performing audits to determine the accuracy and completeness of data collected in the admitting and registration process. You will also ensure that all required data fields for insurance verification, OSHPD reporting, and claims submission are accurately completed. Your ability to multitask, organize, and prioritize tasks will be essential in this role. You will work collaboratively with Hospital, Clinic, Emergency Department, and Member Services personnel to create a customer-friendly environment. This position has no supervisory responsibilities. You will be accountable for consistently demonstrating the knowledge, skills, abilities, and behaviors necessary to provide superior and culturally sensitive service to each other. Basic Qualifications:

Twenty-four (24) months of work experience including twelve (12) months of hospital, medical office, or insurance company required. High school diploma or General Education Diploma (GED) required. N/A Additional Requirements:
The Patient Financial Advisor must be capable of making decisions and working independently to accomplish all responsibilities, as well as maintain an in-depth understanding of job duties and operational changes where financial counseling decisions have significant financial and medical implications.Basic knowledge and use of computer and computer keyboard (able to pass PC skills assessment and keyboarding test [a rate of 6,000 keystrokes/hour is required to pass]).Proficient in medical terminology (able to pass KP standardized test).Demonstrated ability to understand and interpret benefit coverage information, including KP Plans, Medi-Cal, Medicare, and other insurance.Must be able to apply benefit circumstances to fee schedule quotation to determine member/patient cost share obligation (able to pass fee/benefit test).Demonstrated ability to interact in a sensitive manner with KP patients, their families, and KP staff.Knowledgeable regarding the legal requirements of collections.Ability to multitask, organize, and prioritize and work independently with minimal supervision.Demonstrated knowledge of the admitting and registration processes and requirements. Effective interpersonal and communications skills. Knowledgeable regarding the impact Utilization Review, Discharge Planning, Admissions, and other related departments have on reimbursement.Must be willing to work in a Labor Management Partnership environment. Preferred Qualifications:
Payment and/or payment arrangement experience preferred.Proficient in word-processing, spreadsheet programs, etc., preferred.

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