Emergency Financial Representative PT Nights

2 weeks ago


Whittier, California, United States PIH Health Full time
Job Summary

The Emergency Financial Representative is a critical role at PIH Health, responsible for ensuring reimbursement to the organization from patients or other responsible parties. This position requires a strong understanding of healthcare insurance coverage, eligibility, benefits, and utilization requirements. The successful candidate will be able to communicate effectively with patients, healthcare providers, and insurance companies, and possess excellent mathematical skills to calculate copays and establish payment arrangements accurately.

Key Responsibilities
  • Verify patient insurance coverage and determine eligibility for financial assistance programs
  • Collect upfront POS collections and establish payment arrangements with patients
  • Assist patients in accessing programs such as Medi-Cal, Uncompensated Care, and Hospital Presumptive Eligibility
  • Enhance registration and financial knowledge and skill set required for this role
  • Interact with patients after a medical screening exam has been performed
Requirements
  • Minimum of two years' experience in front office/medical billing and/or current hospital registration/admitting
  • Minimum of two years' experience in insurance verification and/or medical/hospital billing
  • High school graduate required or equivalent, prefer evidence of continuing education in Finance, Accounting, or Business Administration
  • Knowledge of eligibility requirements for Medi-Cal, Hospital Presumptive Eligibility Program, Medicare, Covered California, Cobra, limited benefit plans, VVC, and Uncompensated Care Programs
  • Medical terminology required
  • Excellent communication skills
  • Demonstrate flexibility in adapting to change
  • Strong analytical skills, problem-solving, and ability to act and decide accordingly
Preferred Qualifications
  • Bilingual preferred
  • Interacts with all levels of hospital and outside vendor staff and knowledge of government regulations
  • Ability to multi-task in a fast and high-pressure environment
  • Stringent adherence to all privacy policies and procedures and as required by state and federal law


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