Patient Financial Counselor

Description A Hospital in Los Angeles is in the need of a Patient Financial Counselor. The Patient Financial Counselor must have experience in the areas of insurance collections, insurance verification and authorization. The ideal candidate must have experience in a hospital setting with in Revenue Cycle or hospital reporting. Duties: Responsible for reviewing revenue reports and ensuring discharge billing a clean Must have expertise with insurance authorizations Plan and conduct audits of medical claims against established criteria based on all types of payor: HMO, PPO, Medicare, Medi-Cal, Research and Workers Compensation. Responsible for Reviewing and reconciling encounters on the DNFB/EBEW reports. Resolving the issues daily focusing on reducing the Patient Access DNFB (Discharged, Not Final Billed) Responsible for working the Past Due Encounters with charges daily in Identifying if activation of the encounter is appropriate or escalating the encounter to the hospital charge auditor for review. Responsible for reviewing and auditing claims for coding accuracy, benefits payment and compliance through a thorough understanding of requirements for financially clearing patients for transfer and or admission, and ability to interpret and comprehend insurance benefits and division of responsibility (DOFR) for all types of payors. Ensuring appropriate plan code usage, all elements required to ensure clean claim submission that supports Revenue Cycle Goals and initiatives. Analyze audit results to determine root cause of errors and recommend process improvements. Review error trends to identify training opportunities. May provide education on regulatory compliance and proper claims documentation methods.Requirements Insurance Verifications, Insurance Authorizations, Medical Collections, UB04,Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app (https://www.roberthalf.com/us/en/mobile-app) and get 1-tap apply, notifications of AI-matched jobs, and much more.All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.© 2024 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking “Apply Now,” you’re agreeing to Robert Half’s Terms of Use (https:///www.roberthalf.com/us/en/terms) .