Emergency Financial Representative

Evenings 5P-130A/7P-330A

EDUCATION/EXPERIENCE/TRAINING
? 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

SPECIFIC SKILLS NEEDED
Demonstrates a clear understanding of PIH Health mission and values
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
2
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 Rules

POSITION SUMMARY
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.