Financial Service Representative II SGH Cardiac Rehab Brier Patch Day Shift Per Diem

Hours:

Shift Start Time:

Shift End Time:

AWS Hours Requirement:

Additional Shift Information:

Weekend Requirements:

On-Call Required:

Hourly Pay Range (Minimum - Midpoint - Maximum):

The stated pay scale reflects the range that Sharp reasonably expects to pay for this position. The actual pay rate and pay grade for this position will be dependent on a variety of factors including an applicants years of experience unique skills and abilities education alignment with similar internal candidates marketplace factors other requirements for the position and employer business practices.

What You Will Do
To perform secretarial clerical billing insurance pre-authorizer and admitting duties for the Cardiac Rehabilitation department.

Required Qualifications

• 2 years experience as a secretary utilizing word processing systems and software and familiarity with general office procedures.

Preferred Qualifications

• H.S. diploma or equivalent
• Previous hospital experience and insurance/billing experience.

Essential Functions

• Admissions
  Completes all functions at point of registration necessary to comply with JCAHO and Title XXII and facilitate the production of a prompt clean bill drop 4-7 days post patient discharge.
  Complete and Verify accurate demographic and visit data
  Complete and accurate insurance selection and follow-up questions
  Insurance/physician/Therapist notification - documented
  Dissemination of admission forms - Notice of Privacy Practices ADHC Medi-Care questionnaire
  Signatures: Consents COA denial letters
  Medical record numbers are not duplicated
  Complies with all rules and regulations governing Medicare and Medi-Cal billing.
  Check for MCARE overlapping charges for all accounts.
  Any additional functions as described in Department memos or general updates including assisting with prebilling functions as assigned.
  Obtain all necessary attachments required for billing (i.e. hard copy authorizations medical records etc.).
  Assures billing compliance standards are met
  Checks for Medicare eligibility
  Scheduled patients are pre-verified and pre-authorized prior to admission within 2 business days of receipt.
  Ensure prescription with diagnosis is available prior to first scheduled visit.
• Compliance
  Complies with all Local State and Federal guidelines governing department operations as well as all SDHA and department memos guidelines policies and procedures.
  Take responsibility for policy and procedure knowledge.
  Assess department reference accordingly to assure compliance.
  Knowledge of identification of non-compliance reported to management immediately.
  No formal corrective action meets standard.
• Customer service
  Demonstrates a positive caring attitude to all customers by providing prompt courteous and competent assistance in both personal and telephone interactions.
  Greets customers in a cheerful helpful professional manner.
  Strives to assure customer satisfaction with encounter.
  Assures proper handling of all written correspondence physician orders and/or electronic mail. When appropriate customer concerns request billing questions or general inquires are addressed or resolved personally and not forwarded. Management is advised of all unusual significant encounters.
• Patient accounts
  Acts as liaison between patient and billing office fielding phone calls and counseling walk-in patients by answering questions and solving problems.
  Notifies patients of their financial responsibilities per hospital policy and ensures payments to be made at time of appointment are collected.
  Make financial arrangements with patients who have self pay accounts co-insurance and co-payments.
  Communicate with patient regarding estimated cost payment arrangements and secure contract arrangements signatures.
  Documents estimates and arrangements thoroughly in computer and in patient intake form.
• Patient registration
  Uses IDX accurately and in a timely manner completes patient referral forms.
  Verifies insurance eligibility benefits obtains authorizations and notifies appropriate review organizations and patients attending physician when necessary.
  Establishes tracking and follow-up systems for referrals which are pending information from external sources and continued patient treatments.
  Documents using computer system and verification worksheet thoroughly and clearly with required information.
  Pre-registers patients upon completion of insurance verification.
  Organizes time and prioritizes workload to meet deadlines and avoid back-log
• Teamwork and accountability
  Demonstrates teamwork and cooperation through positive and supportive communication regarding department changes goals policies and procedures.
  Promotes a positive work environment by respecting others being honest fair and consistent.
  Take responsibility for department morale and involves management accordingly when issues that affect morale arise.
  Ask necessary questions regarding new ideas or change to facilitate a positive reaction and support for innovation.
  Brings an uplifting positive approach to work assignments.
  Accepts interpersonal differences and cooperates with other employees.
  Accepts responsibility for own actions personal growth and development.
  Attends and participates in regularly scheduled staff meetings.

Knowledge Skills and Abilities

• Ability to execute tasks with minimal supervision.
• General knowledge of office procedures.
• Effective interpersonal and customer relations skills through both phone and face-to-face contact.
• Intermediate computer skills.
• Ability to prioritize and do multiple tasks effectively and efficiently.
• Knowledge of medical insurance billing and collections guidelines/criteria.

Sharp HealthCare is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race religion color national origin gender gender identity sexual orientation age status as a protected veteran among other things or status as a qualified individual with disability or any other protected class