Financial Counselor

Job Summary Under indirect supervision, at the point of service provides financial counseling to patients in a personal interview to create a payer source for Inpatient and Outpatient self‑pay accounts. Identifies potential third party liability, Workers Compensation, Commercial, COB, Medicare and Medi‑Cal. Provides functional direction to Business Service Representatives and Receptionists. Determines and approves Medical Financial Assistance and payment arrangements. Essential Responsibilities Upholds Kaiser Permanente's Policies and Procedures, Principles of Responsibilities and applicable state, federal and local laws. Confidentially obtains or reviews and records patient financial and demographic information. Coordinates with inpatient/outpatient admission and registration for identification of potential alternate payer sources. Interviews patients to determine financial status, counsels and makes arrangements for direct payment, potential enrollment in a government sponsored program or direct billing to the patient. Completes Medical Financial Assistance applications based on analysis of patient financial information. Provides functional guidance to the support staff and informs support staff and physicians on new and revised processes. Acts as a patient/member advocate and uses knowledge of external and internal Social Services agencies for patient referral. Retrospectively reviews diagnosis and treatment records to identify potential Third Party Liability and Workers Compensation cases. Screens for potential eligibility for KP Membership through government programs (Medi‑Cal, Medicare, transition plan, etc.). Obtains pre‑authorizations for services from employers and other insurance carriers. Coordinates and collects conversion dues for KP coverage. Checks patient information against updated eligibility using on‑line systems (Foundations). Places telephone call to the appropriate departments (CSC, Sales and Marketing etc.) in cases where group eligibility is not updated. Ensures that all documentation in the billable jackets is complete and obtains missing or needed information. Establishes and maintains courteous, cooperative relations with the public, patients, and other personnel. Performs other related duties as required. Pay Grade 18 Experience Minimum of three (3) years of relevant experience in Health Care billing, collections or Financial Counseling or equivalent. Typing 35 WPM or as required by Medical Center. Ability to demonstrate knowledge of and to utilize Government Programs and alternate payer sources (Workers Compensation, TPL, COB, Commercial, etc.). Demonstrated ability in patient registration, admissions, and billing practice required. Education High School Diploma/GED. Certificate of completion of a course in Medical Terminology License, Certification, Registration N/A Additional Requirements None specified. Preferred Qualifications None specified. Notes This is an On‑Call position, days and hours may vary. On‑Call FC position working in all areas of the admitting department. Primary Location California, Downey, Downey Medical Center Scheduled Weekly Hours 1 Shift Night Workdays Sun, Mon, Tue, Wed, Thu, Fri, Sat Working Hours Start 11:00 PM Working Hours End 07:30 AM Job Schedule Call‑in/On‑Call Job Type Standard Worker Location Onsite Employee Status Regular Employee Group/Union Affiliation B01|SEIU|Local 399 Job Level Individual Contributor Department Downey Medical Center - Admitting - 0801 Pay Range $32.23 - $35.7 / hour Travel Yes, 10% of the Time Work Setting Onsite Worker location must align with Kaiser Permanente's Authorized States policy. Kaiser Permanente strives to offer a market competitive total rewards package and is committed to pay equity and transparency. The posted pay range is based on possible base salaries for the role and does not reflect the full value of our total rewards package. Actual base pay determined at offer will be based on labor market data, internal alignment, and a candidate's years of relevant work experience, education, certifications, skills, and geographic location. Kaiser Permanente is an equal opportunity employer committed to fair, respectful, and inclusive workplaces. Applicants will be considered for employment without regard to race, religion, sex, age, national origin, disability, veteran status, or any other protected characteristic or status. #J-18808-Ljbffr