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 independentlyConduct daily huddles to keep team members informedConduct quality assurance on all encounters to ensure encounters have been accurately completed with the appropriate documentation standardsTimely and open communication with all parties involved including keeping manager informedResponsible for providing continuous education and training on all aspects of jobProficient in reading and interpreting Determination of Financial Risk (DOFR) and Letter Of AgreementProficient in interpreting and completing insurance verification process for all types of payers including: HMO’s Commercial, Senior & Medi Cal, PPO, POS, EPO, Capitation, Military, Workmen’s Compensation, Medicare and Medi CalProficient in submitting requests for authorizations for all types of services and to all payer typesProficient in understanding and selecting appropriate Plan codes and FSC, based on the patients payerProficient in calculating patient financial responsibilityAchieve a standard of excellence with work processes and outcomes, while honoring University policies and all regulatory requirementsCustomer focused and always striving for high customer satisfactionProvides their Manager with assisting with performance evaluations and Kronos

Required Qualifications:

Req High school or equivalentReq 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)
The hourly rate range for this position is $25.00 - $39.69. When extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate’s work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations.