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Kaiser Permanente
Financial CounselorKaiser Permanente • Los Angeles, CA, United States
No longer accepting applications
Financial Counselor

Financial Counselor

Kaiser Permanente • Los Angeles, CA, United States
30+ days ago
Salary
$30.69 hourly
Job type
  • Full-time
Job description

Financial Counselor

Under indirect supervision, at the point of service provides financial counseling to patients in a personal interview to create a payer source for Inpatient and Outpatient self-pay accounts. Identifies potential third party liability, Workers Compensation, Commercial, COB, Medicare and Medi-Cal. Provides functional direction to Business Service Representatives and Receptionists. Determines and approves Medical Financial Assistance and payment arrangements.

Essential Responsibilities:

  • Upholds Kaiser Permanentes Policies and Procedures, Principles of Responsibilities 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, 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 and informs support 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 on-line systems (Foundations).
  • Places telephone call to the appropriate departments (CSC, Sales and Marketing etc.) in cases where group eligibility is not updated.
  • Ensures that 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.

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 required.

Education:

  • High School Diploma/GED. Certificate of completion of a course in Medical Terminology

Additional Requirements:

  • Candidate is required to be available a minimum of 10 shifts per month which need to include 6 weekdays and 4 weekend days.
  • This is an on call position, days and hours may vary.
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Financial Counselor • Los Angeles, CA, United States

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