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

Hours:

Shift Start Time:

Variable

Shift End Time:

Variable

AWS Hours Requirement:

9/40 - 9 Hour Shift

Additional Shift Information:

6:45 am to 7:30 pm

Weekend Requirements:

No Weekends

On-Call Required:

No

Hourly Pay Range (Minimum - Midpoint - Maximum):

$28.100 - $35.040 - $39.240

 

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 applicant’s 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 patient's 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 r