Skip to content
Access Service Rep-Payer Focus – Centralized PAS – Sharp Healthcare
| Company | Sharp Healthcare |
|---|
| Location | San Diego, CA, USA |
|---|
| Salary | $24.5 – $34.3 |
|---|
| Type | Full-Time |
|---|
| Degrees | |
|---|
| Experience Level | Junior, Mid Level |
|---|
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
