Finance representative job description

Description Serves as the first contact for patients and families regarding funding sources for inpatient and outpatient services. Responsible for the day to day activities of obtaining funding for patients in the statuses of scheduling, pre-registration, registration, or post registration as assigned. Screens all admissions on a daily basis and educates referring physicians offices, patients and their families on hospital policy and procedures regarding various methods of payment source for services rendered. This may include advising applicable admits of pre-payment deposits and monthly payment arrangements.

Obtains and documents information that appropriately designates current funding information and/or provides information on available funding sources if the patient/family does not have current sources. Works in collaboration with all departments and units in the revenue cycle to appropriately communicate issues and/or barriers, and to formulate work plans for resolution. Obtains appropriate up front collection on all self pay accounts as well as co-pays, deductibles, and co-insurance as identified in information provided by the patient's insurance card or through the eligibility and verification process.

Screen the patient for possible other 3rd party and charity eligibility and keep up-to-date on admission/business office insurance procedures. Adept at utilizing payer resources and web sites to accurately explore and assess eligibility and successfully initiate referrals for MediCal/CMS/CCS. Appropriately administers the Palomar Health Financial Assistance Policy and Procedures to determine if the patient is eligible for discounted prices for services or is eligible for charity care designation. Well versed in policy and procedure that pertains to AB774 and is able to assist the patient/family in determining if they qualify based on federal poverty guidelines.

Responsible for careful financial evaluation of all admissions, taking appropriate steps that are most beneficial to the hospital, while giving the proper level of consideration to the patient. Must be firm and decisive, yet courteous, tactful, considerate and show concern and empathy for the patient/family under often stressful situations. Must be keen, alert and have the ability to effectively communicate with people from various education backgrounds. Must have the knowledge and confidence to make decisions regarding methods of payment and have the ability to work with frequent interruptions.

Speak and read English at a level that is sufficient to satisfactorily perform the essential functions of the position. Knowledge of standard office equipment (i.e., calculator, fax, photocopier) and personal computer and computer software skills (i.e., MS Windows, Excel, Access, Word, Powerpoint, internet, e-mail). Windows computer skills including proficient use of keyboarding, use of mouse or keys for functions such as selecting items, use of drop down menus, scroll bars, opening folders, copying and similar operations required upon employment or within the 1st two weeks of employment to perform the essential functions of the job. Performs other duties as assigned. Follows Palomar Health rules, policies, procedures, applicable laws and standards. Carries out the mission, vision, and quality commitment of Palomar Health.Job Requirements
Minimum Education: High School Diploma and/or combination of education and experience Preferred Education: High School Diploma and/or combination of education and experience plus 1 year healthcare-related experience or basic college/medical coursework to learn medical terminology Minimum Experience: 2 years Patient Access and/or Patient Financial Services experience assisting patients with insurance and government funded programs Preferred Experience: 3+ years Patient Access and Patient Financial Services experience assisting patients with insurance and government funded programs, including experience related to billing and payment of government funded health plans.
Bilingual (Spanish) Required Certification: Not Applicable Preferred Certification: Certified Healthcare Access Associate (NAHAM) or equivalent Required License: Not Applicable Preferred License: Not Applicable
We are an equal opportunity employer and do not discriminate against applicants or employees based on race, color, gender, religion, creed, national origin, ancestry, age, disability, sexual orientation, marital status or any other characteristic protected by law.

The Financial Clearance Representative obtains and/or verifies demographic, clinical, financial and insurance information in the process of pre-registering and financially clearing patients for service delivery, including the entry of patient, guarantor information in the patient accounting system. Conducts online insurance eligibility/benefit verification, pre-=certification/authorization, referral clearance and financial education on designated cases. Notifies patient/guarantor of patient liabilities, collects such liabilities and/or refers appropriate cases to financial counseling for follow-up and consultation.

1. High school diploma or an equivalent combination of education and experience. Data entry skills (50-60 keystrokes per minute). Past work experience of at least one (1) year within a physician office, hospital or clinic environment, performing pre-registration and/or financial clearance activities or an insurance company, performing payer activities are highly desired. Working knowledge of medical terminology desirable. Basic computer skills are required. Certified Healthcare Access Associate (CHAA) credentials by the National Association of Healthcare Access Management (NAHAM) is also preferred.

2. Excellent communication (verbal and writing) and organizational abilities. Interpersonal skills are necessary in dealing with peers, internal and external customers. Accuracy, attentiveness to detail and time management skills are required.

3. To successfully accomplish the essential job functions of this position, the incumbent will be required to work independently, read, write and operate keyboard and telephone effectively.
4. Must be comfortable operating in a collaborative, shared leadership environment.

5. Must possess a personal presence that is characterized by a sense of honesty, integrity and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals and values of Trinity Health.

**Our Commitment to Diversity and Inclusion**

Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.

At Mutual of Omaha, we're not afraid to step outside the box and release the potential for ultimate success. We are a Fortune 500 company that allows you to carve your own professional path in many areas.

In the field, our Advisors provide sound professional advice helping their customers pursue their financial goals by developing a personalized plan based on the customer’s unique financial situation. While in our corporate office each associate provides value to the customer through their unique strengths. This collaboration creates a level of synergy not found anywhere else.

What you’re good at…

• Being a leader . You are driven to be the best and foster the same motivation in your teammates.
• Networking . You are constantly looking to expand your network and get energy from connecting with others. Above all else, this is a people business.
• Entrepreneurial skills . You possess business savvy and have the solid determination to run your own business.
• Being a self-starter . Your tenacity and determined mindset along with thick skin help you keep your eye on the prize.
• Advocating for clients . To you, your clients are everything. You are passionate about serving them as a dedicated relationship manager.

What you can expect from us…

• Consistent support . Whether it’s through teaming up with a senior advisor, or providing you with tools to track your goals, results, and business practices, Mutual of Omaha is committed to your success.
• A complete line of insurance and financial services products . These include Life, Disability Income, Long-Term Care insurance and annuities. Financial advisors appointed with our broker dealer offer 401(k), mutual funds, retirement plans and other variable products, Securities and Advisory services offered through Mutual of Omaha Investor Services Inc. Member FINRA/SIPC.
• Strong company ratings . Insurance-rating and information agencies A.M. Best, Standard & Poor’s and Moody’s all agree we are one of the best.
• Solid consumer brand awareness . Mutual of Omaha's Wild Kingdom, key national sponsorships like PGA, LPGA and Nationwide tours help our company stay a household name.
• A group of driven, hardworking individuals . Mutual of Omaha’s commitment to workplace diversity and inclusion has created an organization of professionals dedicated to their clients and their communities. Last year, 537 employees contributed more than 2,200 volunteer hours to 18 organizations. Needless to say, we’re proud.

Being a part of our Mutual of Omaha Advisors team, you can expect to make a difference in the lives of others and your own career. We believe in hiring and promoting hard-working, talented professionals. So if you’re a go-getter with an entrepreneurial mindset and have a passion for helping others, we’d love to get to know you.

Mutual of Omaha Advisors is a division of Mutual of Omaha Insurance Company.