Financial Coordinator (1.0FTE, Days)
Finance & Accounting
1.0 FTE, 8 Hour Day Shift
At Stanford Children’s Health, we know world-renowned care begins with world-class caring. That's why we combine advanced technologies and breakthrough discoveries with family-centered care. It's why we provide our caregivers with continuing education and state-of-the-art facilities, like the newly remodeled Lucile Packard Children's Hospital Stanford. And it's why we need caring, committed people on our team - like you. Join us on our mission to heal humanity, one child and family at a time.
This paragraph summarizes the general nature, level and purpose of the job.
The Financial Coordinator's primary responsibility is to assist in obtaining coverage and discuss financial options to our self-pay patients. They also assist patients with understanding their coverage and benefits. Acts as liaison to Patient Financial Services-hospital and professional, third party payors and contracting. Responsible for ensuring maximum coverage for patients and hospital reimbursement.
The essential functions listed are typical examples of work performed by positions in this job classification. They are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Employees may also perform other duties as assigned.
Employees must abide by all Joint Commission Requirements including but not limited to sensitivity to cultural diversity, patient care, patient rights and ethical treatment, safety and security of physical environments, emergency management, teamwork, respect for others, participation in ongoing education and training, communication and adherence to safety and quality programs, sustaining compliance with National Patient Safety Goals, and licensure and health screenings.
Must perform all duties and responsibilities in accordance with the hospital’s policies and procedures, including its Service Standards and its Code of Conduct.
Reporting to the Financial Counseling Manager, Financial Coordinator—assists patients and families who are self-pay or express financial hardship to apply for public assistance programs (e.g., Medi-Cal, California Children’s Services) and/or Stanford Children’s Health Financial Assistance or Charity Care programs. In addition, Financial Coordinator educates patients and families regarding their financial obligations and arranges payment plans as appropriate. Financial Coordinator is expected to provide high-quality customer service in accordance with established Hospital and department regulations, policies and procedures.
Financial Coordinator works with medical staff, nursing, ancillary departments, case managers, insurance payors and other external sources to assist patients and families in obtaining coverage and/or financial assistance.
- Track pertinent key performance indicators and perform quality assurance reviews of patient accounts as directed by the corresponding Financial Counseling Supervisor.
- Manage patients / families and Stanford Children’s Health potential financial risks by initiating financial counseling activities as in advance as possible (e.g., financially screening patients / families for government funded coverage, payment plans, financial assistance).
- Screen patients / families for eligibility and assist with the application process for Medi-Cal, California Children’s Services and other financial assistance programs
- Obtain demographic and financial information
- Assist and follow up with patients and families regarding the completion and submission of the application
- Enter coverage information into patient account in EPIC upon approval of the application
- Establish acceptable payment plan arrangements with self-pay patients / patients with high deductibles and collect deposits on amounts due per Stanford Children’s Health/LPCH policy.
- Determine whether patients / families have previous outstanding balances to incorporate into the payment plan.
- Notify patients and families of amount due prior to services and the intent to collect financial obligations for scheduled services prior to arrival
- Seek clinical expertise from attending physicians / appropriate providers to determine the urgency of the requested services that has not been financially cleared and follow Stanford Children’s Health formal treatment deferral / denial policy and procedure.
- Handles financial clearance for facility transfer patients to LPCH.
- Stay current on financial counseling options for uninsured or underinsured patients (e.g., clinical programs, county sponsorships), changing public / charity assistance program eligibility criteria, application processes and requirements, and payor coverage and benefit requirements.
- Demonstrate strong customer service skills in all interactions with patients, families and providers.
- Participate in ongoing professional development and competency assessments, include but is not limited to: attend training classes for career development, indicate additional training needs to the Financial Counseling Supervisor, attend staff meetings and orientations, participate in cross-training for position in assigned or other relevant areas.
- Abide by all Joint Commission Requirements including but not limited to:
- Comply with HIPAA standards and regulations
- Sensitivity to cultural diversity
- Patient care
- Patient rights and ethical treatment
- Safety and security of physical environments
- Emergency management
- Respect for others
- Participation in ongoing education and training
Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying.
Education: High School Diploma or GED equivalent.
Experience: Three (3) years of progressively responsible and directly related work experience.
Knowledge, Skills, and Abilities
These are the observable and measurable attributes and skills required to perform successfully the essential functions of the job and are generally demonstrated through qualifying experience, education, or licensure/certification.
• Ability to communicate effectively both orally and in writing.
• Ability to maintain confidentiality with sensitive information.
• Ability to plan, organize, prioritize, multi-task, and meet deadlines.
• Ability to work effectively with individuals at all levels of the organization.
• Knowledge of basic mathematics.
• Knowledge of computer applications related to patient accounts processing.
• Knowledge of medical terminology.
• Knowledge of principles and practices of customer service and telephone courtesy.
• Knowledge of Windows-based office software, computers and operating systems.
Equal Opportunity Employer