Patient Financial Services Representative

KPC GLOBAL MEDICAL CENTERS•Santa Ana, CA

18h•Onsite

About The Position

Under supervision, to admit and register patients, coordinate financial aspects of the patient’s hospitalization, cashiering, financial counseling, billing and collection of accounts; and to do other related work required.

Requirements

Minimum of 6 months year of billing or follow up experience in a healthcare setting, or related medical environment required.
Completion of high school or equivalent.
Knowledge of: Principles of computer control systems and modern office methods
Basic concepts of admitting, billing and collection language and procedures.
Fundamentals of key-disk data entry systems
PPO/HMO and commercial insurance benefits and billing requirements.
Principles of computer control systems and modern office methods
Basic concepts of billing and collection language and procedures.
Fair credit and collection practices.
Fundamentals of key-disk data entry systems.
AS 400 terminal use and operation.
Ability to: Effectively communicate both orally and in writing to individuals and groups
Establish rapport with and maintain cooperative, productive working relationships with staff, volunteers, groups, and the community
Establish and maintain necessary records and controls
prepare reports, charts and correspondence
Operate AS400 system, CRT, PC, Fax, photocopier and PBX
Obtain and record accurate information

Responsibilities

Greets and accommodates patients in professionally courteous manner, and expedites communication to other hospital departments.
Performs on line computer registration and initiates creations of files with patient information entered into and discharged from computer in timely manner.
Responsible for asking for deposits, taking payments, explaining financial requirements to patient or responsible party and recording and reconciling financial transactions accurately.
Identifies and contacts primary and secondary insurance payers to obtain verification/authorization for service to patient at time of registration.
Prepares pre-admissions and admitting forms, prepares admitting and discharge and discharge reports.
Review hospital admissions to ensure accurate financial and biographical data and documentation have been obtained and properly entered into the hospital records
Obtains patient signatures on required documents; distributes copies of patient documents in a timely manner.
Maintains, demonstrates and is assessed on the knowledge and skills necessary to provide for the physical, psychosocial and cultural needs appropriate to the age of the patients served on his/her assigned unit.
Interprets and explains to patients and their family’s charges, services, and hospital policy regarding payment of bills.
Performs various clerical duties to expedite the billing process, including recording patient identification data, physician diagnosis, etc.
Answers all inquiries regarding patient accounts.
Researches all information to complete billing process.
Assumes responsibility for all accounts within one or more pay classes.
Follows up accounts until zero balance or turned over for collection.
Processes and distributes copies of billings as required.
Maintains required records, reports and files.
Enhances professional growth and development through participation in educational programs, current literature, in-service meetings, and workshops.
Other duties as assigned