Job Summary: The Financial Counselor 2-ED assists patients who are seeking treatment in our Emergency or Advanced Urgent Care departments to navigate through the financial process from the MSE to discharge or admission. Contributes to all functions of the financial office including functioning as a resource to colleagues. Verifies benefits, eligibility and facilitates authorization from payers and medical groups. Obtains pertinent documentation to support authorization requests. Maintains ongoing communication with payers, primary care physician and RN service coordinators as necessary. Creates and executes financial contracts with patients and payers for both LLUMC facility and LLUHC professional services according to LLUMC policy. These services may be provided for both the LLUMC and LLUCH hospitals. Performs other duties as needed.
Education and Experience: High School Diploma or GED required. Minimum three years customer service experience required; preferably in hospital-based registration, physician’s office, Medical Group registration specializing in Managed Care, Medi-Cal, Medicare, and/or California Children's Services. Experience with Federal, State, and County eligibility regulations preferred.
Knowledge and Skills: Excellent Customer Service skills required. Able to write legibly; speak in English with professional quality; deliver the highest level of customer service to all patients, family, internal and external customers; use a computer, printer, and software programs necessary to position (e.g., Microsoft applications, patient accounting, registration and insurance eligibility applications); operate/troubleshoot basic office equipment required for the job. Able to communicate effectively in English, in person, in writing, and on the telephone; think critically; relate positively, effectively and professionally with others; provide leadership and supervision; be consistent in following policies; work calmly and respond courteously when under pressure; teach and collaborate; accept direction; work independently and with minimal supervision; perform basic math functions; manage multiple assignments effectively; compose written material; work well under pressure; problem solve, organize and prioritize workload; demonstrate good memory; pay close attention to detail. Able to distinguish colors as necessary; write, hear, read and speak sufficiently for general conversation in person and on the telephone; identify and distinguish various sounds associated with workplace; see adequately to read computer screens and written documents necessary to the position.
Licensures and Certifications: None.
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As a Financial Counselor 2-ED at Loma Linda University Medical Center, you will play a pivotal role in assisting patients in navigating their financial concerns, especially those seeking treatment in our Emergency and Advanced Urgent Care departments. This position is designed for those who thrive on providing exceptional customer service and want to be that guiding hand for patients during often stressful times. Your day-to-day will involve verifying benefits, checking eligibility, and facilitating necessary authorizations from payers, ensuring that patients have all the necessary documentation for a smooth financial process from their initial medical screening examination (MSE) to admission or discharge. With a keen eye for detail and strong communication skills, you'll interact regularly with primary care physicians, RN service coordinators, and other healthcare professionals to ensure all parties are well-informed. You'll use various software applications to create financial contracts for both LLUMC facilities and LLUHC professional services, keeping in line with LLUMC policies. If you have at least three years of customer service experience in a hospital or medical office setting, are familiar with managed care systems, and are ready to tackle challenges with a smile, we would love to have you on board. This role doesn’t just require excellent customer service skills but also the ability to think critically and manage multiple tasks concurrently, while continuing to exceed our patients' expectations.
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