Emergency Financial Representative, PT Nights at PIH Health

Whittier, California, United States -

Full Time

Start Date

Immediate

Expiry Date

20 Jun, 26

Salary

33.78

Posted On

23 Mar, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Point Of Service Collections, Financial Counseling, Insurance Verification, Eligibility Determination, Account Setup, Performance Tracking, Data Gathering, Form Completion, Customer Service, Empathy, HIPAA Compliance, EMTALA Knowledge, Mathematical Skills, Organizational Skills, Computer Skills, Multi-tasking

Industry

Hospitals and Health Care

Description

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. PIH Health is a nonprofit, regional healthcare network that serves approximately 3 million residents in the Los Angeles County, Orange County and San Gabriel Valley region. The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women’s health, urgent care and emergency services. The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nation’s top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology. For more information, visit PIHHealth.org [https://nam04.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.pihhealth.org%2F&data=04%7C01%7CRosie.Marquez%40pihhealth.org%7C1234f44474844f48e14a08d9ebe9053e%7Ca58ef208b7dc40aa8f166eb35263cb1c%7C0%7C0%7C637800208320708287%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000&sdata=itjUBuUESomy5k8fnqLUf2EuyxVcl4xXjgaKar5hjhA%3D&reserved=0] or follow us on Facebook [https://nam04.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.facebook.com%2FPIHHealth%2F&data=04%7C01%7CRosie.Marquez%40pihhealth.org%7C1234f44474844f48e14a08d9ebe9053e%7Ca58ef208b7dc40aa8f166eb35263cb1c%7C0%7C0%7C637800208320708287%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000&sdata=TDq1yPQiJfS8W3oe%2BogFLdggwhfa1i8lJoTsGQvkVsU%3D&reserved=0], Twitter [https://nam04.safelinks.protection.outlook.com/?url=https%3A%2F%2Ftwitter.com%2FPIHHealth&data=04%7C01%7CRosie.Marquez%40pihhealth.org%7C1234f44474844f48e14a08d9ebe9053e%7Ca58ef208b7dc40aa8f166eb35263cb1c%7C0%7C0%7C637800208320708287%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000&sdata=gC11GDp6vl6dcwyeTTxAgbKgKvs1P5IynWgmhleSduI%3D&reserved=0], or Instagram [https://nam04.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.instagram.com%2Fpihhealth%2F&data=04%7C01%7CRosie.Marquez%40pihhealth.org%7C1234f44474844f48e14a08d9ebe9053e%7Ca58ef208b7dc40aa8f166eb35263cb1c%7C0%7C0%7C637800208320708287%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000&sdata=KH6kDF4B8RkL%2BR0rOt18S%2F5FVyka5%2BIEanSTXbGxJM0%3D&reserved=0].

Responsibilities

The representative ensures reimbursement by managing patient financial responsibilities, determining insurance coverage, and securing accounts through point-of-service collections and payment arrangements. This role also involves assisting patients in accessing financial assistance programs like Medi-Cal and Uncompensated Care, focusing on expediting approvals before patient discharge.