Financial Administrative Representative

Job Summary:

The Financial Administrative Representative plays a crucial role in enabling patients to access care by performing registration and pre-registration tasks for outpatient and inpatient accounts. This position involves calculating and securing patient financial liabilities such as copayments, coinsurance, and deductibles efficiently and accurately. The role requires strong communication skills and the ability to work collaboratively with patients, providers, and hospital staff to ensure a smooth admission and billing process. Responsibilities:

• Perform all registration and pre-registration duties for outpatient and inpatient accounts.
• Calculate and secure patient liability including copayments, coinsurance, and deductibles.
• Verify insurance eligibility and coverage for programs such as Medi-Cal, Medicare, Covered California, COBRA, and others.
• Ensure patients are medically screened and stabilized before obtaining consent for admission and requesting financial liability.
• Complete a minimum of 20 registrations per 8-hour shift, striving for 30+ registrations including document scanning and insurance verification.
• Maintain strict adherence to HIPAA laws and confidentiality requirements.
• Communicate effectively with patients, guarantors, insurance companies, physicians, and hospital staff.
• Utilize computer systems and software such as Word and Excel to manage registration and billing tasks efficiently.
• Provide excellent customer service and handle phone inquiries professionally.
• Travel to off-site outpatient locations as needed.

Required Skills & Certifications:

• Minimum 2 years of experience in front office, medical billing, hospital registration, or 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, Medicare, Covered California, COBRA, limited benefit plans, VVC, and Uncompensated Care Programs.
• Understanding of IPA and EMTALA regulations.
• Strong typing skills (45+ words per minute).
• Non-Violent Crisis Intervention (NCI) Certification within three months of hire.
• LA City Fire Card within six months of employment (if applicable).
• Strong computer skills including proficiency in Word and Excel.
• Excellent written and verbal communication skills.
• Compliance with all HIPAA laws.

Preferred Skills & Certifications:

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

Special Considerations:

• Must adhere to strict HIPAA confidentiality and patient privacy regulations.
• No return to office (RTO) during the first two weeks of assignment.
• Once RTO is submitted, changes are not allowed except to cancel time off.
• Ability to work in a fast-paced, high-pressure environment.

Scheduling:

• Full-time position with shifts from 09:00 AM to 5:30 PM.
• Rotating weekends required.
• Orientation hours may differ from regular shift times.