Financial Services Specialist

4 days ago


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

Job Title: Financial Counselor 2-ED

Job Summary: The Financial Counselor 2-ED plays a crucial role in assisting patients seeking treatment in our Emergency or Advanced Urgent Care departments. This position is responsible for navigating patients through the financial process from MSE to discharge or admission, ensuring seamless communication with payers, primary care physicians, and RN service coordinators.

Key Responsibilities:

  • Verify benefits, eligibility, and facilitate authorization from payers and medical groups.
  • Obtain pertinent documentation to support authorization requests.
  • Maintain ongoing communication with payers, primary care physicians, and RN service coordinators as necessary.
  • Create and execute financial contracts with patients and payers for both LLUMC facility and LLUHC professional services according to LLUMC policy.

Requirements:

  • High School Diploma or GED required.
  • Minimum three years customer service experience required; preferably in hospital-based registration, physician's office, Medical Group registration specializing in Managed Care, Medi-Cal, Medicare, and/or California Children's Services.
  • Experience with Federal, State, and County eligibility regulations preferred.

Skills and Qualifications:

  • Excellent Customer Service skills required.
  • Able to write legibly; speak in English with professional quality; deliver the highest level of customer service to all patients, family, internal and external customers.
  • Use a computer, printer, and software programs necessary to position (e.g., Microsoft applications, patient accounting, registration and insurance eligibility applications).
  • Operate/troubleshoot basic office equipment required for the job.

Licensures and Certifications: None.



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