Providence Health & Services Patient Financial Advocate in Torrance, California
Providence is calling a Full Time, Evening Shift Patient Financial Advocate to Providence Little Company Medical in Torrance, CA.
In this position you will:
Be accountable for the verification of patient insurance eligibility prior to admission, for lateral transfers ensures appropriate authorization is initiated; or when possible is obtained before patient is admitted.
Be responsible for accurately entering all patient demographic and insurance information into EPIC when creating patient encounter, including authorization information.
Work collaboratively with the Patient Financial Services staff to insure that face sheets are obtained on all referred patients prior to inpatient admission.
Coordinate with multiple disciplines regarding inpatient notification of an admission and/or patient transfer.
Collaborate with physicians, hospital staff, insurance companies, and patient/family.
Coordinate and acts as liaison to facilitate and manage appropriate and timely transfers.
Provide and assist physicians with non-emergent transfers, consults, and other calls received.
Efficiently and accurately documents interactions on calls in EPIC.
Provide initial information to registration and case managers of repatriated patients; update all admission records as necessary.
Will coordinate non-emergent patient transfer and transport via ground ambulance.
Engage appropriate escalation of issues and problems as determined by department protocols.
Collaborate with clinical staff to enter notes related to authorization status and requested admissions in EPIC.
Ensures all necessary data fields within EPIC are completed to allow for accurate collection of key data elements.
Assists ED Hospital Unit Clerk [HUC] in the dispatch of repatriated transfer and provides insurance authorization information when necessary.
Be responsible for ensuring patient satisfaction as it relates to securing accounts prior to the repatriation to capitated medical center.
Resolve complaints, using patient satisfaction data to improve processes and partnering with clinical departments.
Must maintain up-to-date knowledge and competency with numerous federal, state and other regulatory body compliance regulations and third party insurance plans.
Required qualifications for this position include:
Bachelor's degree or equivalent experience in Healthcare related field
3 years overall experience in integrated healthcare system in any aspect of access services, insurance or related position
Proven history of proactively identifying, resolving and escalating issues that impact business outcomes
Track record showing good decision-making skills based upon a mixture of analysis, experience and judgement
Track record in organizing and planning
Demonstrated experience in:
Working knowledge of Patient Financial Services processes with emphasis on insurance verification, authorization, notification, patient liability estimates including, repatriation, pre-registration, and reimbursement contracts.
Monitoring and adherence to regulatory requirements including HIPAA, CMS, JC, EMTALA and others.
Demonstrated strong and persuasive verbal, written and interpersonal communication skills.
Demonstrated ability to effectively manage time and achieve results in a fast paced environment.
Proven ability to work collaboratively in a team environment in a positive and professional manner.
Demonstrated knowledge of HIPAA, CMS, and JC rules and regulations.
Preferred qualifications for this position include:
Experience with EPIC
Certified Healthcare Access Associate ( CHAA )
About the Region you will serve.
For nearly 70 years, Providence Health & Services, Southern California, has provided quality and compassionate health care, building on a tradition of excellence, innovation, teamwork and outreach to those most in need.
Anchored by five award-winning comprehensive medical centers, Providence provides a full spectrum of care that includes a range of specialties, signature services, outpatient and home care and the well-regarded Providence Medical Institute, a group of physicians and primary and urgent care clinics throughout the greater San Fernando Valley and South Bay. Providence is focused on providing the communities it serves with preventive care, education and leading-edge diagnostics and treatment. The organization includes numerous outreach programs. hospice and home care and even our own Providence High School, a Blue Ribbon college-preparatory campus.
We offer a full comprehensive range of benefits - see our website for details
As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.
Providence Health & Services is a not-for-profit Catholic network of hospitals, care centers, health plans, physicians, clinics, home health care and services guided by a Mission of caring the Sisters of Providence began over 160 years ago. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.
Job Category: Billing/Insurance
Req ID: 230220