Patient Financial Coordinator

San Francisco Campus for Jewish Living•San Francisco, CA

7d•Onsite

About The Position

The Patient Financial Coordinator supports the financial clearance and assistance process for patients and residents, including insurance verification, financial assessments, payment coordination, and financial assistance programs. This role works closely with patients, families, and internal teams to help ensure accurate financial information, appropriate reimbursement, and a positive patient experience. The position also supports compliance with applicable organizational policies and federal and state regulatory requirements.

Requirements

3 years of healthcare experience, specializing in eligibility, insurance verification, and COB; preferably in SNF
HIPAA, GFE, Price Transparency, No Surprises Act, Financial Assistance, including Charity Care, HCAI knowledge preferred
Working knowledge of PCC, preferred.

Responsibilities

Conduct comprehensive financial assessments prior to patient admission to assess financial risk, including insurance eligibility and verification.
Upload and enter all required financial documents, insurance, and identifiers into PCC once the patient is accepted by the facility.
Re-verify eligibility and insurance verification for transitional patients from STC to LTC; notify and work with the Authorization Coordinator for any authorization and/or LOA
Collect patient responsibility from current patients/residents to mitigate the risk for accrued balances.
Develop payment solutions that support patients while ensuring compliance with organizational policies and regulatory requirements.
Exercise independent judgment in evaluating patient eligibility for financial assistance and reimbursement programs.
Assist patients in completing Medicaid, Charity Care, and other financial assistance applications, including gathering required documentation.
Monitor Medicaid application status and provide follow-up through final eligibility determination.
Resolve eligibility issues and assist with appeals as appropriate.
Prepare federally compliant Good Faith Estimates for uninsured and self-pay patients.
Ensure compliance with the No Surprises Act, CMS regulations, HIPAA, Price Transparency requirements, and other applicable federal and state regulations.
Maintain current knowledge of CMS regulations, Medicaid eligibility requirements, Hospital Charity Care regulations, No Surprises Act requirements, Good Faith Estimate requirements, and Price Transparency regulations.
Maintain complete, accurate, and timely documentation within applicable systems.
Provide compassionate, high-quality customer service while assisting patients through complex financial situations.
Serve as a resource to Patient Access, Referrals, Scheduling, and other internal departments regarding financial assistance processes.
Train and mentor new Financial Specialists as assigned.
Participate in quality improvement initiatives and recommend process enhancements to improve operational efficiency and the patient experience.
Analyze financial assistance trends and contribute to reimbursement optimization and the reduction of uncompensated care.
Maintain established productivity, quality, and performance standards.
Perform other duties as assigned.