Patient Financial Navigator for Senior Care

SAN-Francisco-Campus-For-Jewish-Livin; San Francisco (CA); On-site; USD 60,000 - 70,000; Full time

Benefits offered by this job

403(b) Retirement Plan

Paid Time Off (PTO)

Tuition Reimbursement

Commuter Benefits

Weekday Shuttle Service to and from GL

Job summary

San Francisco Campus for Jewish Living in San Francisco's Excelsior neighborhood seeks a Patient Financial Coordinator to manage financial clearance, Medicaid/Charity Care applications, and verification processes. You will work with patients, families, and internal teams to ensure accurate billing information and compliant reimbursements.

The role requires attention to CMS, HIPAA, No Surprises Act, and Price Transparency regulations, with a focus on compassionate service and accurate

Qualifications

• 3 years of healthcare experience, specializing in eligibility, insurance verification, and COB; preferably in SNF.
• HIPAA, GFE, Price Transparency, No Surprises Act, Financial Assistance, including Charity Care, HCAI knowledge preferred
• Working knowledge of PCC, preferred.

Responsibilities

• Conduct comprehensive financial assessments prior to patient admission to assess financial risk, including insurance eligibility and verification.
• Upload and enter all required financial documents, insurance, and identifiers into PCC once the patient is accepted by the facility.
• Re-verify eligibility and insurance verification for transitional patients from STC to LTC; notify and work with the Authorization Coordinator for any authorization and/or LOA
• Collect patient responsibility from current patients/residents to mitigate the risk for accrued balances.
• Develop payment solutions that support patients while ensuring compliance with organizational policies and regulatory requirements.
• Exercise independent judgment in evaluating patient eligibility for financial assistance and reimbursement programs.
• Assist patients in completing Medicaid, Charity Care, and other financial assistance applications, including gathering required documentation.
• Monitor Medicaid application status and provide follow-up through final eligibility determination.
• Resolve eligibility issues and assist with appeals as appropriate.
• Prepare federally compliant Good Faith Estimates for uninsured and self-pay patients.
• Ensure compliance with the No Surprises Act, CMS regulations, HIPAA, Price Transparency requirements, and other applicable federal and state regulations.
• Maintain current knowledge of CMS regulations, Medicaid eligibility requirements, Hospital Charity Care regulations, No Surprises Act requirements, Good Faith Estimate requirements, and Price Transparency regulations.
• Maintain complete, accurate, and timely documentation within applicable systems.
• Provide compassionate, high-quality customer service while assisting patients through complex financial situations.
• Serve as a resource to Patient Access, Referrals, Scheduling, and other internal departments regarding financial assistance processes.
• Train and mentor new Financial Specialists as assigned.
• Participate in quality improvement initiatives and recommend process enhancements to improve operational efficiency and the patient experience.
• Analyze financial assistance trends and contribute to reimbursement optimization and the reduction of uncompensated care.
• Maintain established productivity, quality, and performance standards.
• Perform other duties as assigned.

Skills

Healthcare experience

Eligibility verification

COB (Coordination of Benefits)

HIPAA compliance

GFE knowledge

Price Transparency

No Surprises Act

Charity Care

PCC software

Tools

PCC

Job description

San Francisco Campus for Jewish Living in San Francisco's Excelsior neighborhood seeks a Patient Financial Coordinator to manage financial clearance, Medicaid/Charity Care applications, and verification processes. You will work with patients, families, and internal teams to ensure accurate billing information and compliant reimbursements.

The role requires attention to CMS, HIPAA, No Surprises Act, and Price Transparency regulations, with a focus on compassionate service and accurate