Research Associate I -Research/ Imaging

Cedars-Sinai
CA, United States
Full-time

Align yourself with an organization that has a reputation for excellence. Cedars-Sinai was awarded the National Research Corporation’s Consumer Choice Award 19 years in a row for providing the highest-quality medical care in Los Angeles.

We were also awarded the Advisory Board Company’s Workplace of the Year. We offer an outstanding benefits' package that includes a 403(B), healthcare and generous paid time off.

Join us! Discover why . News & World Report has named us one of America’s Best Hospitals.

Cedars-Sinai International is a reflection of our organization’s most fundamental values and mission, to be a blessing for those in need.

Global growth is a natural development for Cedars-Sinai, which was founded to serve the needs of the community. That community is now truly global, and so are we.

Through our Global Services platform, we strive to partner with governments and private healthcare organizations to provide consulting services, develop global affiliations, and academic and strategic collaborations all with the purpose of bringing world-class care closer to our patients and their families.

What you will be doing in this role :

The International Financial Counselor serves as a subject matter expert and interacts directly with international patients and families on financial consultations including but not limited to embassy authorizations, cost estimates, insurance verifications, account reconciliation, and collecting payments.

Acts as the financial liaison between Cedars-Sinai International and foreign embassies and advocates for international patients / families.

Functions independently under general supervision. Performs troubleshooting when unexpected or difficult situations arise and takes independent action to resolve :

Provides cost estimates to inquiring international patients and their family members. Provides financial information to families by explaining costs, charges, and payment plans.

In conjunction with the International Patient Liaison, corresponds with international referral sources, insurance providers and Embassies to obtain authorizations for services, letters of guarantee, verification of benefits and updates of insurance coverage.

  • Uses excel and Epic functions independently to analyze data to create self-pay patient estimations for patient care services and treatments and provides direct financial consultations with patients and families to discuss financial responsibilities.
  • Conducts interviews with international patients to determine financial status, counsels, and makes arrangements for direct payment, assists with obtaining LOG’s for embassy sponsored patients or direct billing.

Informs patients of potential out of pocket expenses. Supports patients’ billing inquires related to explanation of benefits, self-pay billing questions, patient disputes, verifications, and other billing inquiries.

Ensures pre-payment for services for all international self-pay patients is received prior to patient’s arrival on every case.

Follows up with shared services to track delayed / outstanding payments and works with the Executive Director, International Finance to assess any foreseen payment delays or challenges.

Retrieves and posts payments to internal patient account using Epic or designated third-party international payment processing system.

Initiate payment disbursements to third-party physicians using appropriate payable procedures.

  • Assists with manual embassy billing process including printing physician and hospital bills, compiling excel tables, and retrieving third party physician bills and mails to foreign embassies.
  • Maintains and cultivates positive relationships and high-touch interactions with embassy representatives, 3rd party physicians, CSHS finance team and international patients / families to ensure seamless continuum of care.
  • Supports and performs account reconciliation for both internal billing and for third-party physicians upon completion of care, as needed.

Produces and requests patient refunds Provides patient statements upon request.

Requirements :

  • High School Diploma or GED required. Bachelor's degree in business, healthcare administration, finance or a related major preferred
  • A minimum or 2 years financial counseling, case management, or patient services experience in a clinical setting. Experience working directly with patients in a clinical setting.
  • A minimum of 2 years Working with foreign embassies and international patients preferred.
  • At least 1 year of Hospital revenue cycle experience preferred.
  • 25 days ago
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