ER Financial Representative

Company: APR Consulting Inc
Location: Whittier
Posted on: January 26, 2023

Job Description:

APR Consulting, Inc. has been engaged to identify an ER Financial RepresentativeLocation: Whittier, CA 90602Position: ER Financial RepresentativePay Rate: $ 24.57/hrDuration: 13 weeksExpected Shift: Day 5x8-Hour - 11:30 am - 10:00 pm Position Summary:The Emergency Financial Representative is responsible for ensuring reimbursement to PIH Health from patients or other responsible parties along with assisting patients in understanding their health care insurance coverage by determining eligibility, benefits and utilization requirements.The Emergency Financial Representative is responsible for up-front POS collections, along with financially securing patients accounts by setting up appropriate financial arrangements with patients to avoid bad debt.The Emergency Financial Representative when appropriate assists patients in accessing programs such as Medi-Cal, Uncompensated Care, and Hospital Presumptive Eligibility. Emergency Financial Representative will focus 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. Emergency Financial Representative will continue to enhance their registration and the fundamental financial knowledge and skill set required and expected of this role, which is inclusive of the diverse financial programs offered at PIH Health.The Emergency Financial Representative's interaction with patients will only transpire after a medical screening exam has been performed. All patients are seen regardless of their insurance coverage or their ability to pay.The Emergency Financial Representative will complete the comprehensive training program and certification as required to facilitate eligibility for Hospital Presumptive Eligibility qualifications 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.Requirements:Minimum of two year experience in front office/medical billing and/or current hospital registration/admittingMinimum of two year experience in insurance verification and/or medical/hospital billing.High school graduate required or equivalent, prefer evidence of continuing education in Finance, Accounting or Business AdministrationKnowledge of eligibility requirements for Medi-Cal, Hospital Presumptive Eligibility Program, Medicare, Covered California, Cobra, limited benefit plans, VVC and Uncompensated Care Programs. IPA knowledgeMedical terminology requiredExcellent communication skillsDemonstrate flexibility in adapting to changeStrong analytical skills, problem solving. The ability to act and decide accordingly.Graceful, empathetic and respectful customer service at all timesSpecific Skills NeededDemonstrates a clear understanding of PIH Health mission and valuesAbility to work directly with the insurance company, healthcare provider, and patientsAbility to generate revenue with POS collections, establishing payment arrangements, along with collecting on all Self-Pay and/or high liability accounts at the point of registration.EMTALA knowledge and experienceDemonstrates attention to detail and follow up processDemonstrates ability to communicate effectively and tactfully with patients, healthcare providers and insurance companiesExcellent English reading, comprehension and written skills to include spelling skills and penmanshipExcellent 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 supervisorStrong computer skills to include typing 45+ wpm minimum and in MS office programsExcellent organizational skillsAbility to exercise independent judgment at times of need and emergency situationsBilingual preferredInteracts with all levels of hospital and outside vendor staff and knowledge of government regulationsAbility to multi-task in a fast and high pressure environmentStringent adherence to all privacy policies and procedures and as required by state and federal law including and not limited to the HIPPA Security and Privacy RulesAt a minimum, a 7-year background check, education verification, employment verification, and drug screen will be conducted upon hire. Your suitability for employment is contingent upon successfully passing these required pre-employment screenings.Our client is one of the largest non-profit health plans founded in 1945 which offers comprehensive, affordable health coverage plans for individual & family, Medicare, employers, and large group.This particular client is requiring that all new hires show proof of vaccination. However, accommodations may be made for those with disabilities or religious reasons who cannot obtain a vaccine.Since 1980 APR Consulting, Inc. has provided professional recruiting and contingent workforce solutions to a diverse mix of clients, industries, and skill sets nationwide.We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law.Don't miss out on this amazing opportunity! If you feel your experience is a match for this position please apply today and join our team. We look forward to working with you!

Keywords: APR Consulting Inc, Whittier , ER Financial Representative, Accounting, Auditing , Whittier, California