Patient Financial Navigator

Kaiser Permanente; Ontario (CA); On-site; USD 30,000 - 41,000; Full time

Job summary

Kaiser Permanente in California is seeking a Financial Counselor to identify and document patients' membership status and payor information, guiding them through payment options and government programs as needed.

Under indirect supervision, you will counsel patients on billing, coverage, and alternative payors; coordinate with departments; and help resolve eligibility disputes while promoting excellent customer service.

Qualifications

• Minimum of 2 years relevant experience (health care billing, collections) sufficient to analyze financial information to determine/negotiate financial arrangements
• Experience in reviewing & analyzing financial information to assess ability to pay required
• Experience w/ automated data bases of PC systems required
• Knowledge of workers compensation coordination of benefits & third party liability rules & regulations
• Medical terminology & knowledge of health care billing practices required
• Knowledge of registration bill accounting & collections required
• Able to use RMIS, CARG, KPDS, OPAS & ARRS

Responsibilities

• Confer with patients to determine eligibility for alternate payors such as Non-member, COB, Third Party Liability, or government programs
• Identify ineligible patients and explore alternate payor options or indigence status
• Explain and coordinate payment arrangements and potential enrollment in government programs
• Refer identified cases to Billing Department and coordinate with departments as needed
• Train staff and physicians on new or revised financial processing procedures
• Advise patients and families on financial assistance options and document review outcomes

Skills

Healthcare billing

Collections

Financial analysis

Automated databases

Workers compensation

Third party liability

Medical terminology

Registration billing & collections

RMIS/CARG/KPDS/OPAS/ARRS

Tools

RMIS

CARG

KPDS

OPAS

ARRS

Job description

Kaiser Permanente in California is seeking a Financial Counselor to identify and document patients' membership status and payor information, guiding them through payment options and government programs as needed.

Under indirect supervision, you will counsel patients on billing, coverage, and alternative payors; coordinate with departments; and help resolve eligibility disputes while promoting excellent customer service.