Financial Counselor
Kaiser Permanente, Downey, CA, United States
Job Summary
Under indirect supervision, at the point‑of‑service, the candidate provides financial counseling to patients in a personal interview to create a payer source for inpatient and outpatient self‑pay accounts. They identify potential third‑party liability, workers’ compensation, commercial, COB, Medicare and Medi‑Cal. They provide functional direction to business service representatives and receptionists, and determine and approve medical financial assistance and payment arrangements.
Essential Responsibilities
Upholds Kaiser Permanente policies and procedures, principles of responsibility, and applicable state, federal, and local laws.
Confidentially obtains or reviews and records patient financial and demographic information.
Coordinates with inpatient/outpatient admission and registration for identification of potential alternate payer sources.
Interviews patients to determine financial status, counsels and makes arrangements for direct payment or potential enrollment in a government‑sponsored program or direct billing to the patient.
Completes medical financial assistance applications based on analysis of patient financial information.
Provides functional guidance to support staff and informs staff and physicians on new and revised processes.
Acts as a patient/member advocate and uses knowledge of external and internal social services agencies for patient referral.
Retrospectively reviews diagnosis and treatment records to identify potential third‑party liability and workers’ compensation cases.
Screens for potential eligibility for KP membership through government programs (Medi‑Cal, Medicare, transition plan, etc.).
Obtains pre‑authorizations for services from employers and other insurance carriers.
Coordinates and collects conversion dues for KP coverage.
Checks patient information against updated eligibility using online systems (Foundations).
Places telephone calls to the appropriate departments (CSC, Sales and Marketing, etc.) when group eligibility is not updated.
Ensures all documentation in the billable jackets is complete and obtains missing or needed information.
Establishes and maintains courteous, cooperative relations with the public, patients, and other personnel.
Performs other related duties as required.
Qualifications
Basic Qualifications:
Minimum of three (3) years of relevant experience in health‑care billing, collections, or financial counseling, or equivalent.
Typing 35 WPM or as required by Medical Center.
Ability to demonstrate knowledge of and to utilize government programs and alternate payer sources (workers’ compensation, TPL, COB, commercial, etc.).
Demonstrated ability in patient registration, admissions, and billing practice.
Education:
High school diploma or GED.
Certificate of completion of a course in medical terminology.
License, Certification, Registration:
N/A
Preferred Qualifications:
Information not provided.
Additional Information
Pay grade: 18.
This is an on‑call position; days and hours may vary.
On‑call FC position working in all areas of the admitting department.
#J-18808-Ljbffr
Under indirect supervision, at the point‑of‑service, the candidate provides financial counseling to patients in a personal interview to create a payer source for inpatient and outpatient self‑pay accounts. They identify potential third‑party liability, workers’ compensation, commercial, COB, Medicare and Medi‑Cal. They provide functional direction to business service representatives and receptionists, and determine and approve medical financial assistance and payment arrangements.
Essential Responsibilities
Upholds Kaiser Permanente policies and procedures, principles of responsibility, and applicable state, federal, and local laws.
Confidentially obtains or reviews and records patient financial and demographic information.
Coordinates with inpatient/outpatient admission and registration for identification of potential alternate payer sources.
Interviews patients to determine financial status, counsels and makes arrangements for direct payment or potential enrollment in a government‑sponsored program or direct billing to the patient.
Completes medical financial assistance applications based on analysis of patient financial information.
Provides functional guidance to support staff and informs staff and physicians on new and revised processes.
Acts as a patient/member advocate and uses knowledge of external and internal social services agencies for patient referral.
Retrospectively reviews diagnosis and treatment records to identify potential third‑party liability and workers’ compensation cases.
Screens for potential eligibility for KP membership through government programs (Medi‑Cal, Medicare, transition plan, etc.).
Obtains pre‑authorizations for services from employers and other insurance carriers.
Coordinates and collects conversion dues for KP coverage.
Checks patient information against updated eligibility using online systems (Foundations).
Places telephone calls to the appropriate departments (CSC, Sales and Marketing, etc.) when group eligibility is not updated.
Ensures all documentation in the billable jackets is complete and obtains missing or needed information.
Establishes and maintains courteous, cooperative relations with the public, patients, and other personnel.
Performs other related duties as required.
Qualifications
Basic Qualifications:
Minimum of three (3) years of relevant experience in health‑care billing, collections, or financial counseling, or equivalent.
Typing 35 WPM or as required by Medical Center.
Ability to demonstrate knowledge of and to utilize government programs and alternate payer sources (workers’ compensation, TPL, COB, commercial, etc.).
Demonstrated ability in patient registration, admissions, and billing practice.
Education:
High school diploma or GED.
Certificate of completion of a course in medical terminology.
License, Certification, Registration:
N/A
Preferred Qualifications:
Information not provided.
Additional Information
Pay grade: 18.
This is an on‑call position; days and hours may vary.
On‑call FC position working in all areas of the admitting department.
#J-18808-Ljbffr