Emergency Financial Representative PT Nights

PIH Health; Los Angeles (CA); On-site; USD 42,000 - 66,000; Full time

Job summary

PIH Health seeks an Emergency Financial Representative to ensure reimbursement from patients and responsible parties, guiding patients through eligibility and benefits. The role emphasizes upfront POS collections and establishing financial arrangements to secure accounts and reduce bad debt.

The individual will help patients access programs like Medi-Cal and Hospital Presumptive Eligibility, performing registration and financial counseling with KPIs in focus, while supporting discharge processes

Qualifications

• Explain insurance coverage and eligibility to patients.
• Assist in registering patients and gathering required information.
• Support upfront POS collections to minimize bad debt.
• Maintain focus on performance indicators and efficient ED discharge/payment processing.

Responsibilities

• Determine patient eligibility and benefits for reimbursement.
• Assist patients in understanding health care coverage and proposed payment options.
• Help patients access programs such as Medi-Cal and Hospital Presumptive Eligibility when applicable.
• Complete required training and certification to support eligibility and financial counseling.

Skills

Financial counseling

Registration

Bad debt prevention

KPI driven

Job description

The Emergency Financial Representative is responsible for ensuring reimbursement to PIH Health from patients or other responsible parties along with assisting patients in understanding their health care insurance coverage
by determining eligibility, benefits, and utilization requirements. Responsible for up‑front POS collections, along with financially securing patients accounts by setting up appropriate financial arrangements with patients to
avoid bad debt. When appropriate assists patients in accessing programs such as Medi‑Cal, Uncompensated Care, and Hospital Presumptive Eligibility. Emergency Financial Representative will focus on individual
performance in registration and financial counseling, Key Performance Indicators and expediting approvals by gathering and completing forms before the patient is discharged from the Emergency department. Will continue
to enhance their registration, and the fundamental financial knowledge and skill set required and expected of this role, which is inclusive of the diverse financial programs offered at PIH Health. Interaction with patients will
only transpire after a medical screening exam has been performed. All patients are seen regardless of their insurance coverage or their ability to pay. The Emergency Financial Representative will complete the
comprehensive training program and certification as required to facilitate eligibility for Hospital Presumptive Eligibility qualifications when necessary.

PIH Health is a nonprofit, regional healthcare network that serves approximately 3 million residents in the Los Angeles County, Orange County and San Gabriel Valley region. The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women’s health, urgent care and emergency services. The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nation’s top hospital systems for best practices, cutting‑edge advancements, quality of care and healthcare technology. For more information, visit PIHHealth.org or follow us on Facebook, Twitter, or Instagram.