Financial Counselor

Kaiser Permanente; Anaheim (CA); Vor Ort; USD 55.000 - 75.000; Vollzeit

Zusammenfassung

KAISER is seeking a Financial Counselor in Anaheim, California. The role provides financial counseling to patients, identifies third party liability and other payer sources, and coordinates with care teams to secure coverage or direct billing options.

It requires reviewing patient information and determining eligibility for Medical Financial Assistance and government programs. The position is on-call with variable days and hours, requiring strong communication and knowledge of payer sources.

Qualifikationen

• Minimum of three (3) years of relevant experience in Health Care billing, collections or Financial Counseling.
• 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.).

Aufgaben

• Upholds Kaiser Permanente policies, procedures, and applicable laws.
• Confidentially obtains and reviews patient financial information and coordinates with admissions for payer source.
• Interviews patients to determine financial status and makes arrangements for payment or enrollment in government programs.
• Completes Medical Financial Assistance applications based on analysis of patient information.
• Provides guidance to support staff and informs physicians on new processes.
• Acts as a patient advocate and references external social services for referrals.

Kenntnisse

Financial Counseling

Patient Billing

Health Care Collections

Government Programs

Registration & Admissions

Ausbildung

High School Diploma/GED

Medical Terminology Certificate

Tools

Foundations

Jobbeschreibung

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

Additional Requirements:

• This is an on call position, days and hours may vary.
• Home Base OCA Medical Center, Float to OCI Medical Center.

COMPANY: KAISER

TITLE: Financial Counselor

LOCATION: Anaheim, California

REQNUMBER: 1453407

External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.