This job is expired.
Kaiser Permanente
Financial Counselor
Riverside, CA
May 17, 2025
$2,000 a year
Full-time
Full Job Description
Job Summary:
This job exists to ensure that all patients membership status/alternative payor information is accurately identified & documented. Under indirect supervision, provides financial counsel to patients in a personal interview regarding payor sources and/or heath plan benefit. It will accomplish the following revenue enhancing & member service functions. Increase revenue through accurate & timely identification of membership status/alternative payors. Counsel patients on payment alternatives. Resolve any member/patient disputes regarding eligibility for service.
Essential Responsibilities:
This description is for recruitment posting purposes only. It has not received full HR review and approval.
- Confidentially probes patients who have been referred by staff such as inpatients/outpatient registration, department administrators, physicians, nursing, utilization management & social workers about the nature of their problems as they may concern the ability to have services covered by an alternate payor (Non-member, Coordination of Benefits, Third Party Liability, Workers Compensation) or issues dealing w/ membership.
- If the patient is determined to be ineligible, uses independent judgment to identify an alternate payor or identify the patient as medical indigent.
- Uses knowledge of Workers Compensation, Commercial Insurance Plans, Third Party liability, outside agencies, & governmental regulations for government programs; patient interview & observation; analysis of financial data; & physicians notes in order to accurately identify an alternate payor.
- Skillfully probes patients about their financial status, counsels & make arrangements for direct payment, status as an indigent, potential enrollment in a government sponsored program, or direct billing to patient.
- If the patient is determined to be indigent & not be able to qualify for any governmental program, completes a KP medical Financial Assistance application & based on analysis of patients financial information, approved medical; Financial Assistance up to $2,000 value or recommended approval to supervisor when amount exceeds $2,000.
- Determines patients ability to pay based on analysis of patients financial information & negotiates & approved payment arrangements based on patients financial status.
- Provides functional guidance to the support staff & trains support staff & physicians on new/revised process.
- Acts as a patient/member advocate & uses knowledge of external & internal social service agencies to accurately refer patients to social services.
- Retrospectively reviews diagnosis & treatment records to identify potential Third Party Liability & Workers Compensation cases.
- Refers identified cases to the Billing Department.
- Screens for potential eligibility for KP membership through Government Programs (Medi-Cal, Medicare, transition Plan, etc.) & refers to Member Services.
- Obtains pre-authorization for services from employers or other insurance carriers.
- Coordinates & collects conversion dues for KP.
- Checks patient information against update eligibility using on-line systems.
- Places telephone calls to appropriate departments (Membership Accounting, Sales & Marketing, etc.)
- Ensures that all reviewed documentation in the billable jacket or on the superbill is complete & obtains any missing or needed information.
- Promotes, ensures, & improves customer service to internal/external customers by demonstrating skills which are consistent w/ the organizations philosophy of providing extraordinary customer relations & quality service.
Basic Qualifications:
Experience

* Minimum of 2 years relevant experience (health care billing, collections) sufficient to analyze financial information to determine/negotiate financial arrangements
* Experience in reviewing & analyzing financial information to assess ability to pay required
* Experience w/ automated data bases of PC systems required
* Knowledge of workers compensation coordination of benefits & third party liability rules & regulations
* Medical terminology & knowledge of health care billing practices required
* Knowledge of registration bill accounting & collections required
* Able to use RMIS, CARG, KPDS, OPAS & ARRS


Education

  • N/A


License, Certification, Registration

  • N/A


Additional Requirements:

  • N/A


Preferred Qualifications:

  • N/A



Notes:


* Will be included in weekend rotation.

* May include consecutive weekend coverage as operationally needed.

* Will work holidays.




PDN-9eee09bf-7b72-4dad-b959-4113617ae8ad
Job Information
Job Category:
Accounting
Spotlight Employer
Related jobs
Wells Fargo
About this role:Wells Fargo is seeking a Lead Product Manager within the Consumer Lending area.In this role, you will:Lead complex initiatives including establishing solutions for new products or enha...
Jul 16, 2025
Des Moines, IA
Wells Fargo
About this role:Wells Fargo is seeking a Lead Product Manager within the Consumer Lending area.In this role, you will:Lead complex initiatives including establishing solutions for new products or enha...
Jul 16, 2025
Wilmington, DE
Wells Fargo
About this role:Wells Fargo is seeking a Lead Product Manager within the Consumer Lending area.In this role, you will:Lead complex initiatives including establishing solutions for new products or enha...
Jul 16, 2025
Raleigh, NC
©2025 TalentAlly.
Powered by TalentAlly.
Apply for this job
Financial Counselor
Kaiser Permanente
Riverside, CA
May 17, 2025
$2,000 a year
Full-time
Your Information
First Name *
Last Name *
Email Address *
Zip Code *
Password *
Confirm Password *
Create your Profile from your Resume
By clicking the Apply button, you agree to the terms of use and privacy policy and consent to receive emails from us about job opportunities, career resources, and other relevant updates. You can unsubscribe at any time.
Continue to Apply

Kaiser Permanente would like you to finish the application on their website.

Supercharge Your Resume with AI

Boost your resume with AI-driven enhancements. The tool analyzes and refines your content, highlighting your strengths and tailoring it for maximum impact. Get personalized suggestions and apply improvements instantly to stand out in the job market.