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  Upholds KP's Policies & Procedures, Principles of Responsibilities & applicable state, federal & local laws

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  Confidentially obtains or reviews & records patient financial & demographic information

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  Coordinates w/ inpatient/outpatient admission & registration for identification of potential alternate payor sources

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  Interviews patients to determine financial status, counsels & makes arrangements for direct payment, potential enrollment in a government sponsored program or direct billing to the patient

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  Completes Medical Financial Assistance applications based on analysis of patient financial information

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  Provides functional guidance to the support staff & informs support staff & physicians on new & revised processes

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  Acts as a patient/member advocate & uses knowledge of external & internal Social Services agencies for patient referral

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  Retrospectively reviews diagnosis & treatment records to identify potential Third Party Liability & Workers Compensation cases

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  Screens for potential eligibility for KP Membership through government programs (Medi-Cal, Medicare, transition plan, etc)

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  Obtains pre-authorizations for services from employers & other insurance carriers

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  Coordinates & collects conversion dues for KP coverage

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  Checks patient information against updated eligibility using on-line systems (Foundations)

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  Places telephone call to the appropriate departments (CSC, Sales & Marketing, etc) in cases where group eligibility is not updated

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  Ensures that all documentation in the billable jackets is complete & obtains missing or needed information

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  Establishes & maintains courteous, cooperative relations w/ the public, patients & other personnel

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  Performs other related duties as required

Notes:

• This is a 20+ Variable Day FLOAT position that could be scheduled at either Anaheim or Irvine Hospital.
• Training may be conducted Full Time during Day Shift for six weeks or more.