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Financial Counselor

Location Los Angeles, California Job Number 989426 Date posted 10/14/2021
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Under indirect supervision, at the point of service provides financial counseling to patients in a personal interview to create a payer source for Inpatient & Outpatient self-pay accounts. Identifies potential third party liability, Workers Compensation, Commercial, COB, Medicare & Medi-Cal. Provides functional direction to Business Service Representatives & Receptionists. Determines & approves Medical Financial Assistance & payment arrangements.

Essential Functions:

- Upholds KP's Policies & Procedures, Principles of Responsibilities & applicable state, federal & local laws

- Confidentially obtains or reviews & records patient financial & demographic information

- Coordinates w/ inpatient/outpatient admission & registration for identification of potential alternate payor sources

- Interviews patients to determine financial status, counsels & makes arrangements for direct payment, 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 the support staff & informs support staff & physicians on new & revised processes

- Acts as a patient/member advocate & uses knowledge of external & internal Social Services agencies for patient referral

- Retrospectively reviews diagnosis & treatment records to identify potential Third Party Liability & 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 & other insurance carriers

- Coordinates & collects conversion dues for KP coverage

- Checks patient information against updated eligibility using on-line systems (Foundations)

- Places telephone call to the appropriate departments (CSC, Sales & Marketing, etc) in cases where group eligibility is not updated

- Ensures that all documentation in the billable jackets is complete & obtains missing or needed information

- Establishes & maintains courteous, cooperative relations w/ the public, patients & other personnel

- Performs other related duties as required

Pay  Grade 14

Basic Qualifications:

• Minimum of three (3) years of relevant experience in health care billing, collections or financial counseling or equivalent

• High School Diploma/GED

• Certificate of completion of a course in Medical Terminology

• Typing 35 WPM or as required by Medical Center

• Demonstrated ability in patient registration, admissions & billing practice required

• Ability to demonstrate knowledge of & to utilize Government Programs & alternate payor sources (Workers Compensation, TPL, COB, Commercial, etc)

Primary Location: California,Los Angeles,Los Angeles Medical Center Scheduled Weekly Hours: 1 Shift: Variable Workdays: Sun, Mon, Tue, Wed, Thur, Fri, Sat Working Hours Start: 12:01 AM Working Hours End: 11:59 PM Job Schedule: Call-in/On-Call Job Type: Standard Employee Status: Regular Employee Group/Union Affiliation: B01|SEIU|Local 399 Job Level: Individual Contributor Department: Sunset Medical Center - Admitting - 0801 Travel: No Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status.

External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances.