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County of Los Angeles · 3 months ago

PATIENT FINANCIAL SERVICES WORKER/EMERGENCY APPOINTMENTS HOMELESSNESS

Los Angeles County, CA

Full-time

Onsite

Entry Level

1+ years exp

County of Los Angeles is addressing the homelessness crisis and is seeking qualified candidates for the role of Patient Financial Services Worker. This position involves interviewing patients to gather financial data, assisting with healthcare program applications, and determining patient eligibility for various healthcare services.

CommunitiesGovernmentNon Profit

Comp. & Benefits

Responsibilities

Interviews patients or their relatives and/or representatives to obtain financial and other eligibility data and assists patients in preparing, completing, and processing Medi-Cal and other healthcare program applications

Collects data and enters patient information into the Los Angeles Eligibility Automated Determination Evaluation and Reporting (LEADER) system,as well as other information systems

Interprets provisions and requirements of the various governmental healthcareprograms to provide a plan that is beneficial to the patient and the department

Analyzes financial and eligibility data and reviews medical records to establish patient eligibility for a variety of federal, State and County healthcareprograms, such as Medi-Cal, Ability-to-Pay Plan, and Outpatient Reduced-Cost Simplified Application; completes the necessary documents within time limits specified by the appropriate governmental agency

Determines patients' financial ability to reimburse the County for healthcare services; interviews and corresponds with patients, responsible relativesand/or representatives, attorneys, employers, agencies, and insurance companies to obtain, verify, or clarify information, andexplains County policies; may secure payments and arrange payment plans

Reviews and evaluates a wide variety of deeds, life insurance policies, negotiable securities, and miscellaneous assetsto determine their value; obtainsassignments of insurance benefits and third party liability liens

Determines whether patients have healthcare coverage and identifies the billable resource(s)for collection

Identifies problem situations and refers patients to other hospital departments, agencies, or community resources when appropriate

Review patients' files to pursue the collection of delinquent accounts receivable, as needed; recommend, when appropriate,temporary or permanent suspension of accounts or transfer delinquent accounts to collection servicesfor further follow-up, as needed

Qualification

Medi-Cal applicationsFinancial data analysisPatient interviewingLEADER systemHealthcare program knowledgeCommunication skillsProblem-solving skillsTeam collaboration

Required

Completion of 60 semester units or 90 quarter units from an accredited college or university AND one (1) year of experience interviewing the public in connection with applications for financial assistance, credit, insurance, medical or hospital services, social security or workers' compensation

Two (2) years of experience as a Patient Resources Worker interviewing patients or their relatives and/or representatives to determine patients' financial resources to pay for healthcare services

One (1) year of experience in the supervision of Patient Resources Workers

A valid California Class C Driver License or the ability to utilize an alternative method of transportation when needed to carry out job-related essential functions