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About the Role

The Patient Financial Coordinator supports the financial clearance and assistance process for patients and residents. This role works closely with patients, families, and internal teams to ensure accurate financial information, appropriate reimbursement, and a positive patient experience, while also supporting compliance with organizational policies and regulatory requirements.

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.
• 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.

Requirements

• 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.
• Ability to stand/sit/walk for extended periods.
• Ability to bend, reach, stoop, or perform repetitive motions.

Skills

• Insurance verification
• Financial assessments
• Payment coordination
• Financial assistance programs
• PCC
• HIPAA
• GFE
• Price Transparency
• No Surprises Act
• Charity Care
• HCAI

Location

• San Francisco

Work Type

• Full-Time

Experience Level

• 3 years of healthcare experience

Salary/Compensations

• $28.85 - $33.65 per hour

Benefits

• Medical coverage
• Dental coverage
• Vision coverage
• 403(b) Retirement Plan
• Paid Time Off (PTO)
• Tuition Reimbursement
• Commuter Benefits
• Weekday Shuttle Service to and from Glen Park BART Station

About the Company

• The San Francisco Campus for Jewish Living (SFCJL) is the leading senior services organization in Northern California.
• 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.

Equal Opportunity

• 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.