Financial Administrative Representative

Job Title: Financial Administrative Representative

Job Location: Los Angeles CA 90017

Schedule: Night 3x8-Hour (05:00PM - 01:30AM)
Duration: 13 Weeks

Orientation: Must be fully available 8:00 AM 5:00 PM

Position Summary

The ER Financial Representative is responsible for ensuring reimbursement from patients or responsible parties while assisting patients in understanding their insurance coverage and financial obligations. This includes:

• Determining eligibility benefits and utilization requirements.
• Securing patient accounts through POS collections and financial arrangements.
• Assisting patients with programs such as Medi-Cal Hospital Presumptive Eligibility (HPE) and Uncompensated Care.
• Supporting patients and families with clear communication about financial responsibilities after a medical screening exam.
• Maintaining compliance with Health policies EMTALA regulations and HIPAA requirements.
• All patients are seen regardless of insurance or ability to pay.

Key Responsibilities

Patient Registration & Financial Counseling

• Complete accurate patient registration demographics and insurance verification.
• Collect payments establish financial arrangements and secure accounts before discharge.
• Educate patients about insurance financial liability and payment options.
• Assist patients with eligibility programs (Medi-Cal HPE Covered California Uncompensated Care).

Collections & Revenue Generation

• Meet/exceed monthly collection goals through upfront collections.
• Request payment from insured/self-pay patients in compliance with EMTALA.
• Secure financial arrangements using Payment Estimator & Payment Navigator systems.
• Accurately handle reconcile and secure all collected funds.

Compliance & Accuracy

• Maintain 95% registration accuracy.
• Ensure all consents HIPAA forms COA and required documents are scanned.
• Follow Health and regulatory guidelines for eligibility and financial documentation.
• Uphold confidentiality and adhere to HIPAA and hospital privacy rules.

Customer Service & Teamwork

• Provide compassionate respectful and professional service to patients families and staff.
• Use effective communication and translation services as needed.
• Support emergency department workflow during high census or critical needs.
• Serve as a resource/trainer for new staff and collaborate with case managers and eligibility vendors.

Productivity & Performance

• Complete 20 30 registrations per 8-hour shift including scanning and collections.
• Ensure timely registration (within 30 minutes of medical screening).
• Proactively follow up on discharged accounts within 1 2 days if liability not secured.
• Participate in performance improvement continuing education and training.

Required Skills & Qualifications

• 2 years of experience in front office medical billing or hospital registration/admitting.
• 2 years of insurance verification or hospital/medical billing experience.
• High school diploma or equivalent.
• Strong knowledge of Medi-Cal HPE Medicare Covered California COBRA VVC and Uncompensated Care programs.
• Medical terminology knowledge.
• Proficient computer skills (MS Office); typing speed 45 WPM.
• Strong math skills to calculate estimates copays and payment plans.
• Excellent communication organizational and problem-solving skills.
• EMTALA knowledge and compliance.
• Ability to multi-task in a high-pressure emergency environment.
• Non-Violent Crisis Intervention (NCI) Certification within 3 months of hire.
• LA City Fire Card within 2 weeks of employment.

Preferred:

• Continuing education in Finance Accounting or Business Administration.
• Bilingual (English/Spanish or other languages).

Personal Qualities

• Punctual dependable professional appearance and demeanor.
• Strong customer service and negotiation skills.
• High attention to detail and accuracy.
• Ability to prioritize work under pressure and adapt to change.
• Analytical organized and sound judgment in emergency situations.
• Team-oriented with a positive proactive attitude.