Financial Administrative Representative

Job Summary:

The Financial Administrative Representative is responsible for facilitating patient access to care by performing registration and pre-registration tasks for outpatient and inpatient accounts. This role involves calculating and securing patient financial liability, including copayments, coinsurance, and deductibles, while ensuring compliance with hospital policies and regulatory requirements. The position requires strong communication skills, attention to detail, and the ability to work efficiently in a fast-paced environment. Responsibilities:

• Perform registration and pre-registration of outpatient and inpatient accounts accurately and efficiently.
• Calculate and secure patient financial liability including copayments, coinsurance, and deductibles.
• Verify insurance eligibility and benefits for various programs such as Medi-Cal, Medicare, Cobra, and others.
• Ensure patients are medically screened and stabilized before obtaining Consent of Admission and requesting liability.
• Scan and manage patient documents related to registration and billing.
• Communicate effectively with patients, staff, insurance companies, and physicians regarding financial and registration matters.
• Maintain strict adherence to HIPAA laws and privacy regulations.
• Complete a minimum of 20 registrations per shift, striving for up to 30 or more.
• Travel to off-site outpatient locations as required.

Required Skills & Certifications:

• Minimum 2 years of experience in front office, medical billing, or hospital registration/admitting.
• Minimum 2 years of experience in insurance verification and/or medical/hospital billing.
• High school diploma or equivalent.
• Knowledge of eligibility requirements for Medi-Cal, Hospital Presumptive Eligibility Program, Medicare, Covered California, Cobra, limited benefit plans, VVC, and Uncompensated Care Programs.
• Understanding of IPA and EMTALA regulations.
• Strong typing skills with a minimum of 45 words per minute.
• Non-Violent Crisis Intervention (NCI) Certification within 3 months of hire.
• LA City Fire Card within 6 months of employment (specific to PIHGS).
• Strong computer skills including proficiency in Word and Excel.
• Excellent written and verbal communication skills.
• Ability to multi-task and work under pressure.

Preferred Skills & Certifications:

• Continuing education in Finance, Accounting, or Business Administration.
• Bilingual language skills.

Special Considerations:

• Strict adherence to HIPAA and patient privacy laws.
• Must comply with all hospital policies including IPA and EMTALA.
• Non-violent crisis intervention certification required shortly after hire.
• Must be able to travel to off-site outpatient locations.
• No return to office (RTO) allowed during the first two weeks of assignment.
• Once RTO is submitted, changes are only allowed to cancel time off; all dates must be confirmed for the full 13-week contract.

Scheduling:

• Part-time shift from 11:00 PM to 7:30 AM.
• Work every Saturday, Sunday, and Monday with rotating weekends.
• Orientation hours may differ from scheduled shift times.