Access Service Rep-Payer Focus – Centralized PAS – Sharp Healthcare

Access Service Rep-Payer Focus – Centralized PAS – Sharp Healthcare

Requirements

• 2 Years Experience in the Business Services setting with demonstrated above-standard performance in billing, account follow-up, and at least one other area of expertise
• Medical terminology.
• Insurances, billing and collections guideline/criteria. Local, State, and Federal regulations governing registration/billing activities including JCAHO, Title XXII, Medicare and Medi-Cal regulations.
• ICD-9, RVS and CPT 4 coding.
• Basic computer functions.
• Basic utilization management.
• Accurately type or on-line key 35-40 wpm.
• Organize and prioritize work activities.
• Communicate/discuss personal and financial matters with patients and/or their representatives.
• Document effectively and concisely. Communicate effectively both verbally and in writing.
• Function well in demanding/stressful environments.

Responsibilities

• Obtains and verifies patient demographic, visit, and financial information in a manner that facilitates maximum financial reimbursement and promotes premier customer service.
• Completes all functions required to process billing of all hospital visits by producing a prompt, clean bill drop 4-7 days post patient discharge.
• Participate in the achievement of team billing goals through timely release of billable accounts and release of series bills.
• Complies with all Local, State and Federal guidelines governing Department operations as well as all SDHA and Department memos, guidelines, policies and procedures.
• Demonstrates a positive, caring attitude to all customers by providing prompt, courteous, and competent assistance in both personal and telephone interactions.
• Contributes proportionately to Department production. Offers to assist others and asks for assistance in completion of assignments, as needed.
• Complete coverage profile on all accounts. Request and collect deductibles, co-pays, deposits. Provide financial counseling, following Department policy and procedure, to secure payment on all self-pay balances.
• Accepts instruction, coaching, and counseling in a positive productive manner. Identifies own need for skill development and pursues training opportunities.
• Demonstrates teamwork and cooperation through positive and supportive communication regarding Department changes, goals, policies and procedures.

Preferred Qualifications

• H.S. Diploma or Equivalent