Part time 730P-4A (Minimum guaranteed hours - 40 hours every 2 weeks)
Rotating Weekends and Holidays

Onsite

Requirements

Minimum High School Diploma or GED
Preferred - Evidence of continuing education in Finance, Accounting or Business

Administration

2 years experience in front office/medical billing and/or current hospital

registration/admitting

2 years experience in insurance verification and/or medical/hospital billing
EPIC EHR experience

Skills

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
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
Strong analytical skills, problem solving. The ability to act and decide accordingly
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

Job 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. Responsible for up-front POS collections, along
with financially securing patients accounts by setting up appropriate financial arrangements with patients to
avoid bad debt. 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. 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. 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.