Finance Counselor

Kaiser Permanente; Los Angeles (CA); In loco; USD 60.000 - 75.000; Tempo pieno

Descrizione del lavoro

Kaiser Permanente in Los Angeles is seeking a Financial Counselor to provide patient financial counseling at the point of service for inpatient and outpatient self-pay accounts. This role identifies alternate payer sources and helps determine eligibility for government programs.

The position requires health care billing experience, strong data entry, and knowledge of public programs. It also involves coordinating with admissions, billing, and support staff, and guiding patients through payment

Competenze

• Minimum of three (3) years of relevant experience in Health Care billing, collections or Financial Counseling or equivalent.
• Typing 35 WPM or as required by Medical Center.
• Ability to demonstrate knowledge of Government Programs and alternate payer sources (Workers Compensation, TPL, COB, Commercial, etc.).
• Demonstrated ability in patient registration, admissions, and billing practice required.

Mansioni

• Provide financial counseling to patients in a personal interview to identify payer sources.
• Counsel and arrange for direct payment or enrollment in a government sponsored program or direct billing to the patient.
• Complete Medical Financial Assistance applications based on analysis of patient financial information.
• Coordinate with inpatient/outpatient admission and registration for identification of potential alternate payer sources.
• Act as a patient advocate and refer to external Social Services agencies for support.
• Ensure documentation in the billable jackets is complete and accurate.

Formazione

High School Diploma/GED

Medical Terminology course certificate

Descrizione del lavoro

Job Summary:

Under indirect supervision, at the point of service provides financial counseling to patients in a personal interview to create a payer source for Inpatient and Outpatient self-pay accounts. Identifies potential third party liability, Workers Compensation, Commercial, COB, Medicare and Medi-Cal. Provides functional direction to Business Service Representatives and Receptionists. Determines and approves Medical Financial Assistance and payment arrangements.

Essential Responsibilities:

Upholds Kaiser Permanentes Policies and Procedures, Principles of Responsibilities and applicable state, federal and local laws. Confidentially obtains or reviews and records patient financial and demographic information. Coordinates with inpatient/outpatient admission and registration for identification of potential alternate payer sources. Interviews patients to determine financial status, counsels and makes arrangements for direct payment, potential enrollment in a government sponsored program or direct billing to the patient. Completes Medical Financial Assistance applications based on analysis of patient financial information. Provides functional guidance to the support staff and informs support staff and physicians on new and revised processes. Acts as a patient/member advocate and uses knowledge of external and internal Social Services agencies for patient referral. Retrospectively reviews diagnosis and treatment records to identify potential Third Party Liability and Workers Compensation cases. Screens for potential eligibility for KP Membership through government programs (Medi-Cal, Medicare, transition plan, etc.). Obtains pre-authorizations for services from employers and other insurance carriers. Coordinates and collects conversion dues for KP coverage. Checks patient information against updated eligibility using on-line systems (Foundations). Places telephone call to the appropriate departments (CSC, Sales and Marketing etc.) in cases where group eligibility is not updated. Ensures that all documentation in the billable jackets is complete and obtains missing or needed information. Establishes and maintains courteous, cooperative relations with the public, patients, and other personnel. Performs other related duties as required.

Basic Qualifications:

Experience

Minimum of three (3) years of relevant experience in Health Care billing, collections or Financial Counseling or equivalent. Typing 35 WPM or as required by Medical Center. Ability to demonstrate knowledge of and to utilize Government Programs and alternate payer sources (Workers Compensation, TPL, COB, Commercial, etc.). Demonstrated ability in patient registration, admissions, and billing practice required.

Education

• High School Diploma/GED. Certificate of completion of a course in Medical Terminology

License, Certification, Registration

• N/A

Notes

• This is an on-call position, days and hours may vary.
• Candidate must be available to work a minimum of 10 days per month which must include 6 week days and 4 weekend days.