Financial Counselor

Kaiser Permanente; Los Angeles (CA); Sur place; USD 44 000 - 49 000; Plein temps

Résumé du poste

Kaiser Permanente seeks a Financial Counselor to provide in-person counseling, identify alternate payer sources, and determine eligibility for Medical Financial Assistance and program enrollment. The role guides staff and coordinates with admissions to secure payer sources and ensure compliant financial processes.

Responsibilities include reviewing patient information, advising on direct payments or government programs, and supporting documentation for Medical Financial Assistance, while acting

Qualifications

• 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.

Responsabilités

• Obtains or reviews and records patient financial and demographic information.
• Interviews patients to determine financial status and counsels on payment arrangements.
• Completes Medical Financial Assistance applications based on analysis of patient information.
• Coordinates with admission and registration for payer source identification.

Connaissances

Typing 35 WPM

Government programs knowledge

Patient registration

Billing practice

Formation

High School Diploma

Medical Terminology certificate

Description du poste

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 Permanente 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.

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.

Kaiser Permanente is an equal opportunity employer committed to fair, respectful, and inclusive workplaces. Applicants will be considered for employment without regard to race, religion, sex, age, national origin, disability, veteran status, or any other protected characteristic or status.

Job Duties

For jobs where work will be performed in unincorporated LA County, the employer provides the following statement in accordance with the Los Angeles County Fair Chance Ordinance. Criminal history may have a direct, adverse, and negative relationship on the following job duties, potentially resulting in the withdrawal of the conditional offer of employment:

• Consistently supports compliance and the Principles of Responsibility (Kaiser Permanente's Code of Conduct) by maintaining the privacy and confidentiality of information, protecting the assets of the organization, acting with ethics and integrity, reporting non-compliance, and adhering to applicable federal, state, and local laws and regulations, accreditation, and licensure requirements (where applicable), and Kaiser Permanente's policies and procedures.
• Models and reinforces ethical behavior in self and others in accordance with the Principles of Responsibility, adheres to organizational policies and guidelines; supports compliance initiatives; maintains confidences; admits mistakes; conducts business with honesty, shows consistency in words and actions; follows through on commitments.
• Job duties with at least occasional or possible access to: (1) patients, the general public, or other employees; (2) confidential protected health information and other confidential KP information (including employee, proprietary, financial or trade secret information); (3) KP property and assets, for example, electronic assets, medical instruments, or devices; (4) controlled substances regulated by federal law or potentially subject to diversion.

Primary Location

California, Los Angeles, West Los Angeles Medical Center

Scheduled Weekly Hours

1

Shift

Night

Workdays

Sun, Mon, Tue, Wed, Thu, Fri, Sat

Working Hours Start

11:00 PM

Working Hours End

07:30 AM

Job Schedule

Call-in/On-Call

Job Type

Standard

Worker Location

Onsite

Employee Status

Regular

Employee Group/Union Affiliation

B01|SEIU|Local 399

Job Level

Individual Contributor

Department

West LA Medical Center - Admitting - 0801

Pay Range

$32.23 - $35.7 / hour

Kaiser Permanente strives to offer a market competitive total rewards package and is committed to pay equity and transparency. The posted pay range is based on possible base salaries for the role and does not reflect the full value of our total rewards package. Actual base pay determined at offer will be based on labor market data, internal alignment, and a candidate's years of relevant work experience, education, certifications, skills, and geographic location.

Travel

No

Work Setting

Onsite

Worker location must align with Kaiser Permanente's Authorized States policy.

Kaiser Permanente is an equal opportunity employer committed to fair, respectful, and inclusive workplaces. Applicants will be considered for employment without regard to race, religion, sex, age, national origin, disability, veteran status, or any other protected characteristic or status.