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Financial Support Specialist

2 months ago

Loma Linda, California, United States Loma Linda University Medical Center Full time

Position Overview:
The Financial Support Specialist plays a crucial role in assisting patients seeking care in our Emergency and Advanced Urgent Care departments. This position is dedicated to guiding individuals through the financial processes associated with their treatment from the initial evaluation to either discharge or admission. The specialist will engage in various financial office functions and serve as a knowledgeable resource for colleagues.

Key Responsibilities:
1. Verify patient benefits and eligibility while facilitating authorization from insurance providers and medical groups.
2. Gather necessary documentation to support authorization requests effectively.
3. Maintain continuous communication with insurance payers, primary care physicians, and RN service coordinators as required.
4. Develop and implement financial agreements with patients and payers for services rendered at both the facility and professional service levels, adhering to established policies.
5. Perform additional responsibilities as needed to support the financial office.

Qualifications:
Education: High School Diploma or GED is mandatory.
Experience: A minimum of three years in customer service is essential, preferably within hospital registration, physician's office, or Medical Group registration with a focus on Managed Care, Medi-Cal, Medicare, and/or California Children's Services. Familiarity with Federal, State, and County eligibility regulations is advantageous.

Skills and Competencies:
- Exceptional customer service abilities are required.
- Proficient in written and verbal communication in English with a professional demeanor.
- Competent in utilizing computer systems, software applications, and basic office equipment.
- Ability to communicate effectively in various formats, including in-person, written, and over the phone.
- Strong critical thinking and problem-solving skills.
- Capacity to manage multiple tasks efficiently while maintaining attention to detail.
- Ability to work independently and collaboratively under minimal supervision.

Licensure and Certification:
No specific licensure or certification is required.