Insurance Verification/ER Financial Representative

Company: Pride Healthcare
Location: Whittier
Posted on: January 25, 2023

Job Description:

Job DescriptionA Los Angeles based healthcare provider network is seeking an Emergency Financial Representative for a 3-4 month contract for the following shift. The working hours for this role is 11pm-7:30am shift.$24.56/hourContract to hire with the right candidateResponsibilities: Responsible for ensuring reimbursement to the company from patients or other responsible parties along with assisting patients in understanding their health care insurance coverage by determining eligibility, benefits and utilization requirements. Responsible for up-front POS collections, along with financially securing patients accounts by setting up appropriate financial arrangements with patients to avoid bad debt. Assists patients in accessing programs such as Medi-Cal, Uncompensated Care, and Hospital Presumptive Eligibility. 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. 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. 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.SPECIFIC SKILLS NEEDED: Ability to work directly with the insurance company, healthcare provider, and patients Ability 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 experience Demonstrates attention to detail and follow up process Demonstrates ability to communicate effectively and tactfully with patients, healthcare providers and insurance companies Excellent English reading, comprehension and written skills to include spelling skills 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 to include typing 45+ wpm minimum and in MS office programs Excellent organizational skills Ability to exercise independent judgment at times of 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 and as required by state and federal law including and not limited to the HIPPA Security and Privacy RulesRequirements: Minimum of two year experience in front office/medical billing and/or current hospital registration/admitting Minimum 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 Administration 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 skills, problem solving. The ability to act and decide accordingly. Graceful, empathetic and respectful customer service at all times Must be fully COVID 19 vaccinated with boostersCompany DescriptionPride Health is a leading minority-owned healthcare recruitment & staffing firm that offers highly customized business process solutions at cost-effective prices.Here at PRIDE Health we strive to provide our colleagues with a positively charged work environment; treating them with respect and appreciation. Happy employees work harder and care more; in turn they will go the extra mile for our customers and candidates. Creating and fostering a culture based on performance-oriented teamwork and innovative thinking is what sets us apart from the rest.by Jobble

Keywords: Pride Healthcare, Whittier , Insurance Verification/ER Financial Representative, Other , Whittier, California