Financial Administrative Representative

Job Summary:

The Financial Administrative Representative plays a critical role in enabling patients to access care by managing all aspects of registration and pre-registration for outpatient and inpatient accounts. This position ensures accurate calculation and collection of patient liabilities such as copayments, coinsurance, and deductibles while maintaining a hospitable and efficient process. The role requires strong knowledge of insurance verification, medical billing, and compliance with healthcare regulations to support patient, physician, and hospital needs effectively. Responsibilities:

• Perform registration and pre-registration tasks for outpatient and inpatient accounts.
• Calculate and secure patient financial liabilities including copayments, coinsurance, and deductibles accurately.
• Verify patient insurance eligibility and benefits for programs such as Medi-Cal, Medicare, Covered California, Cobra, and Uncompensated Care.
• Ensure patients are medically screened and stabilized before discussing Consent of Admission or requesting liability.
• Scan and maintain accurate patient documentation.
• Communicate effectively with patients, guarantors, insurance companies, physicians, and staff.
• Adhere strictly to HIPAA laws and maintain patient confidentiality.
• Meet productivity goals by completing a minimum of 20 registrations per shift, striving for 30+ registrations.
• 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.
• Experience in insurance verification and medical/hospital billing.
• High school diploma or equivalent.
• Knowledge of Medi-Cal, Hospital Presumptive Eligibility Program, Medicare, Covered California, Cobra, limited benefit plans, VVC, and Uncompensated Care Programs eligibility requirements.
• 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 (PIHGS only).
• Strong computer skills including proficiency in Word, Excel, and navigating multiple systems.
• Excellent written and verbal communication skills.
• Ability to work in a fast-paced, high-pressure environment with strong multitasking and analytical skills.

Preferred Skills & Certifications:

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

Special Considerations:

• Strict adherence to HIPAA and patient privacy laws.
• Must complete NCI certification within 3 months of hire.
• LA City Fire Card required within 6 months (PIHGS only).
• 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; dates must be confirmed for the entire 13-week contract.

Scheduling:

• Full-time shifts from 5:00 PM to 1:30 AM.
• Rotating weekend shifts required.
• Orientation hours may differ from regular shift times.