Patient Financial Coordinator

Job description

Nestled in San Francisco's Excelsior neighborhood on a nine-acre campus, the San Francisco Campus for Jewish Living (SFCJL) is the leading senior services organization in Northern California. Our continuum of care includes: the Frank Residences assisted living and memory care; the Jewish Home and Rehabilitation Center, offering long-term skilled nursing, short-term rehabilitation, an acute geriatric psychiatric unit for adults over the age of 65; and our Foundation. Founded in 1871 and formerly known as the Jewish Home, our legacy grounds us as our vision propels us forward. Today, we've evolved to support more than 2,500 older adults each year through innovative, comprehensive programs rooted in the Jewish values of compassion, community, and excellence. We are equally proud of our inclusive culture, where 950 team members of diverse faiths and backgrounds work together in shared purpose. **WHY WORK WITH US** - Mission-driven nonprofit organization - Competitive compensation and comprehensive benefits - Meaningful work that positively impacts the lives of older adults every day - Inclusive community, welcoming to all (you do not need to be Jewish to live or work here) - Supportive, team-oriented environment - Opportunities for professional growth and development - Collaborative leadership focused on enhancing the employee experience **POSITION SUMMARY** The Patient Financial Coordinator supports the financial clearance and assistance process for patients and residents, including insurance verification, financial assessments, payment coordination, and financial assistance programs. This role works closely with patients, families, and internal teams to help ensure accurate financial information, appropriate reimbursement, and a positive patient experience. The position also supports compliance with applicable organizational policies and federal and state regulatory requirements. **KEY RESPONSIBILITIES** - Conduct comprehensive financial assessments prior to patient admission to assess financial risk, including insurance eligibility and verification. - Upload and enter all required financial documents, insurance, and identifiers into PCC once the patient is accepted by the facility. - Re-verify eligibility and insurance verification for transitional patients from STC to LTC; notify and work with the Authorization Coordinator for any authorization and/or LOA - Collect patient responsibility from current patients/residents to mitigate the risk for accrued balances. - Develop payment solutions that support patients while ensuring compliance with organizational policies and regulatory requirements. - Exercise independent judgment in evaluating patient eligibility for financial assistance and reimbursement programs. - Assist patients in completing Medicaid, Charity Care, and other financial assistance applications, including gathering required documentation. - Monitor Medicaid application status and provide follow-up through final eligibility determination. - Resolve eligibility issues and assist with appeals as appropriate. - Prepare federally compliant Good Faith Estimates for uninsured and self-pay patients. - Ensure compliance with the No Surprises Act, CMS regulations, HIPAA, Price Transparency requirements, and other applicable federal and state regulations. - Maintain current knowledge of CMS regulations, Medicaid eligibility requirements, Hospital Charity Care regulations, No Surprises Act requirements, Good Faith Estimate requirements, and Price Transparency regulations. - Maintain complete, accurate, and timely documentation within applicable systems. - Provide compassionate, high-quality customer service while assisting patients through complex financial situations. - Serve as a resource to Patient Access, Referrals, Scheduling, and other internal departments regarding financial assistance processes. - Train and mentor new Financial Specialists as assigned. - Participate in quality improvement initiatives and recommend process enhancements to improve operational efficiency and the patient experience. - Analyze financial assistance trends and contribute to reimbursement optimization and the reduction of uncompensated care. - Maintain established productivity, quality, and performance standards. - Perform other duties as assigned. **JOB DETAILS** - Pay Rate: $28.85 -$33.65 per hour - Hours: Full-Time, 40 hours per week - Shift Schedule: Day - Days Off: Saturday & Sunday - Working Days: Monday through Friday **REQUIRED QUALIFICATIONS** - 3 years of healthcare experience, specializing in eligibility, insurance verification, and COB; preferably in SNF - HIPAA, GFE, Price Transparency, No Surprises Act, Financial Assistance, including Charity Care, HCAI knowledge preferred - Working knowledge of PCC, preferred. **PHYSICAL REQUIREMENTS** - Ability to stand/sit/walk for extended periods. - Ability to bend, reach, stoop, or perform repetitive motions. **OUR INVESTMENT IN YOU** Comprehensive benefits, including Medical, Dental, and Vision coverage; a **403(b) Retirement Plan**; **Paid Time Off (PTO)**; **Tuition Reimbursement**; **Commuter Benefits**; and **Weekday Shuttle Service to and from Glen Park BART Station**. ***The San Francisco Campus for Jewish Living is committed to fostering a diverse, equitable, and inclusive workplace. We provide equal employment opportunities to all qualified individuals without regard to race, color, religion, gender, age, national origin, marital status, sexual orientation, gender identity, veteran status, genetic information, disability, or any other characteristic protected by applicable law.*** ***Pursuant to the San Francisco Fair Chance Ordinance, we will consider qualified applicants with arrest and conviction records for employment.***