University of California
Financial Coordinator, Transplant Services
University of California, Los Angeles, California, United States, 90079
Description
In this role you as a Senior Collections Rep (Transplant Financial Counselor) youwill:Perform all admission functions including in-house financial managementProvide leadership within his/her functional areaVerify accurate demographic and financial information and knowledgeable in the review and interpretation of insurance benefitsPerform financial counseling, financial screening, and credit assessmentEstablish all financial arrangements, refer appropriate cases to other agencies, internal and external, to assist patients with discharge/post hospital careInteract closely with Utilization Review and Patient Business Services to ensure correct and timely reimbursementSalary Range: $32.24-$46.29/hourlyQualifications
Required:Working knowledge of third party payer verification terminology
Working knowledge in the functional operations of third party payors and utilization review agencies to expeditiously coordinate follow-upWorking knowledge of State and Federal programs to ensure reimbursement from Medicare, Medi-Cal, CCS programs, out-of-state Medicaid, or other sponsoring agenciesWorking knowledge of health plans with special processing requirements for emergency patients and ability to effectively communicate these requirements to physicians and administrative personnel under time urgent conditions.Ability to scrutinize credit reports and evaluate personal financial information to detect any problems, discrepancies or questionable areas and set up an appropriate financial arrangement when necessary (May be trained)
Ability to attend to many details within a short span of timeKnowledge of the availability of specific accommodations for patients on various nursing units to initiate proper room and care charges (May be trained)Skill in detecting erroneous data input that would otherwise disable census system output mechanism
Working knowledge of HMO's and PPO's, in order to understand, explain and calculate Per Diem rates, contractual allowances and percentage discounts.Skill in computing rations, rates and percentages in order to calculate estimated pro-rated balances and patient liability.Skill in analyzing information, problems, situations, practices or procedures in order to define the problem/objective; identify relevant concerns/factors; identify patterns, tendencies or relationships,; formulate logical and objective conclusions; recognize alternatives and their implications
Preferred:Working knowledge of the department functions of an acute care hospital and their organizational interrelationshipsKnowledge of physician team and specialty to accurately validate medical services rendered to patientsAbility to monitor bed availability, predict, and communicate possible problems to appropriate departments
In this role you as a Senior Collections Rep (Transplant Financial Counselor) youwill:Perform all admission functions including in-house financial managementProvide leadership within his/her functional areaVerify accurate demographic and financial information and knowledgeable in the review and interpretation of insurance benefitsPerform financial counseling, financial screening, and credit assessmentEstablish all financial arrangements, refer appropriate cases to other agencies, internal and external, to assist patients with discharge/post hospital careInteract closely with Utilization Review and Patient Business Services to ensure correct and timely reimbursementSalary Range: $32.24-$46.29/hourlyQualifications
Required:Working knowledge of third party payer verification terminology
Working knowledge in the functional operations of third party payors and utilization review agencies to expeditiously coordinate follow-upWorking knowledge of State and Federal programs to ensure reimbursement from Medicare, Medi-Cal, CCS programs, out-of-state Medicaid, or other sponsoring agenciesWorking knowledge of health plans with special processing requirements for emergency patients and ability to effectively communicate these requirements to physicians and administrative personnel under time urgent conditions.Ability to scrutinize credit reports and evaluate personal financial information to detect any problems, discrepancies or questionable areas and set up an appropriate financial arrangement when necessary (May be trained)
Ability to attend to many details within a short span of timeKnowledge of the availability of specific accommodations for patients on various nursing units to initiate proper room and care charges (May be trained)Skill in detecting erroneous data input that would otherwise disable census system output mechanism
Working knowledge of HMO's and PPO's, in order to understand, explain and calculate Per Diem rates, contractual allowances and percentage discounts.Skill in computing rations, rates and percentages in order to calculate estimated pro-rated balances and patient liability.Skill in analyzing information, problems, situations, practices or procedures in order to define the problem/objective; identify relevant concerns/factors; identify patterns, tendencies or relationships,; formulate logical and objective conclusions; recognize alternatives and their implications
Preferred:Working knowledge of the department functions of an acute care hospital and their organizational interrelationshipsKnowledge of physician team and specialty to accurately validate medical services rendered to patientsAbility to monitor bed availability, predict, and communicate possible problems to appropriate departments