Emergency Financial Representative, Nights

Overview

The Emergency Financial Representative is responsible for ensuring reimbursement to PIH Health from patients or other responsible parties, and assisting patients in understanding their health care insurance coverage by determining eligibility, benefits, and utilization requirements. The role includes up-front POS collections, and securing patients' accounts by setting up appropriate financial arrangements to avoid bad debt. The representative assists patients in accessing programs such as Medi-Cal, Uncompensated Care, and Hospital Presumptive Eligibility when appropriate.

The position focuses on individual performance in registration and financial counseling, key performance indicators, and expediting approvals by gathering and completing forms before the patient is discharged from the Emergency Department. The role will enhance registration and the fundamental financial knowledge and skill set required for PIH Health, including the diverse financial programs offered. Interactions with patients occur after a medical screening exam has been performed;

all patients are seen regardless of insurance coverage or ability to pay. Training and certification as required to facilitate eligibility for Hospital Presumptive Eligibility will be completed when necessary. Graceful, empathetic, and respectful customer service shall be maintained at all times. Non-Violent Crisis Intervention (NCI) Certification within 3 months of hire date is required.

PIH Health is a nonprofit, regional healthcare network that serves approximately 3 million residents in the Los Angeles County, Orange County, and San Gabriel Valley region. The network includes PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical group, home healthcare services and hospice care, and services across heart, cancer, digestive health, orthopedics, women’s health, urgent care, and emergency services.

The organization is recognized for excellence in patient care and patient experience. The College of Healthcare Information Management Executives (CHIME) has identified PIH Health as a top hospital system for best practices, quality of care, and healthcare technology. For more information, visit PIHHealth.org or follow us on Facebook, Twitter, or Instagram.

• Demonstrates a clear understanding of PIH Health mission and values
• Ability to work directly with the insurance company, healthcare provider, and patients
• Ability to generate revenue with POS collections, establishing payment arrangements, and collecting on Self-Pay and/or high-liability accounts at the point of registration
• EMTALA knowledge and experience
• Attention to detail and follow-up processes
• Ability to communicate effectively and tactfully with patients, healthcare providers, and insurance companies
• Excellent English reading, comprehension, and written skills including spelling and penmanship
• Excellent mathematical skills; ability to calculate copay or percentage of financial estimate amount due and/or establish payment arrangements accurately
• Ability to follow directions as outlined in policies or given by supervisor
• Strong computer skills including typing 45+ wpm and proficiency in MS Office
• Excellent organizational skills
• Ability to exercise independent judgment in need and emergency situations
• Bilingual preferred
• Interacts with all levels of hospital and outside vendor staff and knowledge of government regulations
• Ability to multi-task in a fast and high-pressure environment
• Stringent adherence to all privacy policies and procedures as required by state and federal law, including HIPAA Security and Privacy Rules

• Minimum of two years experience in front office/medical billing and/or current hospital registration/admitting
• Minimum of two years experience in insurance verification and/or medical/hospital billing
• High school graduate required or equivalent; continuing education in Finance, Accounting, or Business Administration preferred
• Knowledge of eligibility requirements for Medi-Cal, Hospital Presumptive Eligibility Program, Medicare, Covered California, COBRA, limited benefit plans, VVC and Uncompensated Care Programs; IPA knowledge
• Medical terminology required
• Excellent communication skills
• Demonstrate flexibility in adapting to change
• Strong analytical and problem-solving skills; ability to act and decide accordingly
• Graceful, empathetic, and respectful customer service at all times

Address
1225 Wilshire Boulevard

Salary

Shift
Nights

Zip Code
90017