Senior Financial Counselor/Representative - Pre-Arrival - Full Time 8 Hour Days (Non-Exempt) (Non-Union)

The Senior Financial Counselor Representative provides daily leadership support including monitoring work quality assisting with workflow questions and assisting manager with attendance. Has an in-depth knowledge on all the functions of the Insurance Verification Authorization Financial Counseling and full knowledge in Managed Care Payors Medicare MediCal and Letters of Agreement.

Essential Duties:

• Must be collegial professional and have self-initiative taking ownership of assigned work and having the ability to work independently
• Conduct daily huddles to keep team members informed
• Conduct quality assurance on all encounters to ensure encounters have been accurately completed with the appropriate documentation standards
• Timely and open communication with all parties involved including keeping manager informed
• Responsible for providing continuous education and training on all aspects of job
• Proficient in reading and interpreting Determination of Financial Risk (DOFR) and Letter Of Agreement
• Proficient in interpreting and completing insurance verification process for all types of payers including: HMOs Commercial Senior & Medi Cal PPO POS EPO Capitation Military Workmens Compensation Medicare and Medi Cal
• Proficient in submitting requests for authorizations for all types of services and to all payer types
• Proficient in understanding and selecting appropriate Plan codes and FSC based on the patients payer
• Proficient in calculating patient financial responsibility
• Achieve a standard of excellence with work processes and outcomes while honoring University policies and all regulatory requirements
• Customer focused and always striving for high customer satisfaction
• Provides their Manager with assisting with performance evaluations and Kronos

Required Qualifications:

• Req High school or equivalent

• Req 5 years Combined knowledge in Insurance Verification Authorization submission and Financial Counseling experience.

• Req Thorough knowledge in patient accounts admission and insurances.
• Req Demonstrates leadership.
• Req Knowledgeable in Managed Care Payors Medicare MediCal and Letters of Agreement.
• Req Must have excellent communication skills including the ability to speak read and write English proficiently.

Preferred Qualifications:

Required Licenses/Certifications:

• Req Fire Life Safety Training (LA City) If no card upon hire one must be obtained within 30 days of hire and maintained by renewal before expiration date. (Required within LA City only)

USC is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race color religion sex sexual orientation gender identity national origin protected veteran status disability or any other characteristic protected by law or USC policy. USC observes affirmative action obligations consistent with state and federal law. USC will consider for employment all qualified applicants with criminal records in a manner consistent with applicable laws and regulations including the Los Angeles County Fair Chance Ordinance for employers and the Fair Chance Initiative for Hiring Ordinance and with due consideration for patient and student safety. Please refer to theBackground Screening Policy Appendix Dfor specific employment screen implications for the position for which you are applying.

We provide reasonable accommodations to applicants and employees with disabilities. Applicants with questions about access or requiring a reasonable accommodation for any part of the application or hiring process should contact USC Human Resources by phone at or by email at. Inquiries will be treated as confidential to the extent permitted by law.

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