Access Service Representative - Admitting - Chula Vista/Coronado Float - Evening - Per Diem
Service representative job at Sharp HealthCare
Hours:
Shift Start Time:
Variable
Shift End Time:
Variable
AWS Hours Requirement:
8/40 - 8 Hour Shift
Additional Shift Information:
Weekend Requirements:
As Needed
On-Call Required:
No
Hourly Pay Range (Minimum - Midpoint - Maximum):
$27.830 - $33.390 - $37.400
This position is covered by a Collective Bargaining Agreement (CBA) with SEIU-UHW. As part of the terms of employment, employees in this role are required to join the union within 31 days of hire and remain a member (e.g. dues paying, fee paying, religious exception contributor) for the duration of the collective bargaining agreement.
As part of our recruitment process, you may receive communication from Dawn, our virtual recruiting assistant. Dawn helps coordinate scheduling for screening calls and interviews to ensure a smooth and timely experience. Rest assured, all candidate evaluations and hiring decisions are made by our recruitment and hiring teams.
This position was originally posted to ratified SEIU members from 10/08/25 - 10/16/25. The position is now available to be filled by internal candidates that are not members of the ratified Bargaining Unit or External candidates to Sharp.
What You Will Do
Coordinates all registration functions necessary to ensure the processing of a clean claim including but not limited to obtaining and processing patient demographics, visit and financial information in a manner that facilitate maximum financial reimbursement and promotes premier customer service. This role utilizes Patient Secure to identify the accurate patient medical record while adhering to EMTALA regulations and performs face-to-face interviews directly with patients and/or their designated representatives. Accurate identification and delivery of regulatory documents and securing patient financial responsibility is a key responsibility.
Required Qualifications
2 Years experience in a business service setting.
Must have experience communicating effectively both verbally and in writing professionally.
Preferred Qualifications
H.S. Diploma or Equivalent
Experience communicating and discussing personal and financial matters with patients and/or their representatives is preferred.
Other Qualification Requirements
HFMA certifications preferred.
Essential Functions
Collections
Follow department guidelines for providing patient with estimate letter.
Request payment of co-pay, deductible, estimated out of pocket or good-faith deposit in a manner specified in department and hospital policies. If patient unable to pay requested amount, negotiate some portion.
Receive and process funds, print and file receipt, and update Centricity visit comments. Secure all funds and receipts in accordance with department standard.
Completes insurance verification and evaluation
Insurance/Plan Selection:
After medical screening (ER settings), obtain health benefit coverage including possible accident related coverage. Input all insurance coverage information into Centricity Insurance Verification (IF). If patient unable to provide insurance, search for potential coverage through MCA for SRS/SCMG and MPV (or Portal) for potential Medicare or Medi-Cal.
Use Coordination of Benefits (COB) standards to prioritize billing order of insurance plans.
Medicare patients - Medicare Secondary Payer (MSP) questionnaire is completed.
Validate insurance eligibility electronically (e.g. MPV, Experian) when applicable. Validate health benefit coverage including possible accident related coverage.
Validate and identify the Primary Medical Group on Health Maintenance Organizations (HMO) patients. Notify the clinical staff, including physician, on patients that are out-of-network.
Follow process to estimate patient out of pocket based upon department guidelines and collect patient financial responsibility.
Communicate to patient and leadership when unusually high out of pocket, unusually limited coverage, and/or if insurance is out of network (OON) following the guidelines established for the facility.
Unfunded:
Initiate interview on unfunded/underfunded patients. Input financial screening results into Pointcare fields as appropriate and provide patient with potential coverage options. Complete the process by recording the outcome through X8 function.
Complete HPE (Hospital Presumptive Eligibility) process when appropriate.
Document in Centricity visit comments if patient declined or completed financial screening.
Follow self-pay process (aka toolkit) to discuss the Sharp out of pocket expectation.
Customer service
Use AIDET, key words at key times, On-Stage Behavior and support 5-star results on patient satisfaction.
Communicates effectively both orally and in writing sufficient to perform the essential job functions. Use tact and empathy in working with customers under stressful situations and with frequent interruptions.
Avoid abbreviations when communicating to patient.
Adapt and protect patient privacy as needed (i.e. lowering voice, using face sheets vs. verbal interviews).
Practice good interpersonal and communication skills and ability to work well with others contributing to a team environment.
Practice a positive and constructive attitude at all times.
Negotiates with others, handles minor complaints by settling disputes, grievances, and conflicts.
Perform service recovery when The Sharp Experience does not go right in accordance to the department standards and Sharp's Behavior Standard Service Recovery.
Identify solutions to issues not covered by verbal or written instructions.
Demonstrates initiative and teamwork
Prioritize job responsibilities effectively. Keep management informed of backlogs or slow volume. Round on patients when volumes are low as identified by your department.
Patients are processed timely based upon depart standards such as quality audits, time, and production measurements.
Offer to assist others and asks for assistance in completing of assignments, as needed.
Inform patient/families of admission delays and cause if known or allowed.
Promotes a team approach in completion of department duties.
Contributes to department production by maintaining expected level of productivity designated by the department.
Other duties
As directed by Leadership, provide ongoing support of department and hospital needs as assigned.
When applicable, collect patient valuables according to policy and secure them by entering into log and dropping into department safe. Follow hospital policy to release valuables.
When applicable, update Patient Type, Bed Placement, Accommodation Code, Attending Physician.
ED Unit Clerk (SCO only):
Responsible for handling outgoing/incoming Emergency Department calls including outgoing calls for consultations and ancillary services. Calls to physicians and ancillary service areas will be documented in the EMR.
Obtain medical records and facilitate transfers from/to outside facilities.
Create patient chart for physician and organize charts for the HIM department. Compile workers' compensation paperwork for the ED physician.
Monitor ED cafe supplies.
Handle outgoing calls to other departments for ED.
Input discharge disposition information obtained from EHR orders into patient admission-discharge-transfer (ADT) application.
Customer Information Center duties (SCO only):
Initiate ED Code calls using the overhead paging system and Code Log Book online.
Answer CIC phone lines after business hours and monitor alarm panels for incoming Codes.
Patient registration
Patient Safety:
Authenticate and/or enroll patient at workstations where Patient Secure palm scanner is available. Follow established guidelines such as scripting and picture identification for enrollment and authentication.
In absence of Patient Secure workstation, use at least two patient identifiers to confirm patient identity.
Notify DUPREG and document potential duplicate and overlap registrations when identified.
Demographic Collection:
Populate all demographic screens for new and established patients. In applicable cases, follow registration guidelines for Doe and Trauma patients.
Update regulatory fields in demographic data with patient choices on regulatory forms such as Notice of Privacy Practice (NPP), Advanced Directive for Health Care (ADHC), Health Information Exchange (HIE).
Secure patient signature on address attestation.
If service is accident related, update appropriate visit fields indicating known details.
Follow defined documentation process with homeless patient (i.e. notating 'SB1152' in FirstNet and Edit Visit (EV) form comments).
Regulatory responsibilities
Observe EMTALA regulations (Emergency Room/ER settings) by avoiding communication of financial information (such as eligibility, copays, authorization) until medical screening is completed. This includes avoiding discussion of financial issues with clinical counterparts, health insurances, or patient family/friends until after medical screening.
Using scripting, review Conditions of Admission (COA). If unable to secure signature, indicate reason in Centricity visit comments. Based upon COA patient review, update appropriate Centricity fields related to status of ADHC, No Publish, Notice of Privacy Practices, and Patient Rights. More fields may be added as regulations change.
In cases where Tricare or Medicare/Medicare Advantage is primary or secondary, use scripting to review and deliver appropriate regulatory form (Tricare Rights, Tricare Third Party Liability, and Important Message from Medicare (IMM) form). If signature secured, update Centricity fields in appropriate insurance follow-up field. If unable to secure signature, indicate reason in Centricity visit comments.
Follow guidelines for delivery of Medicare Outpatient Observation (MOON) and Outpatient Observation Notice (OON) to all patients being admitted in an Observation status.
Request and input Primary Care Provider (PCP) information and initiate Health Information Exchange (HIE) process as appropriate.
In areas performing post regulatory review, address outstanding alerts in the Centricity Alerts Manager based upon your department's workflow.
Document Imaging - Secure necessary Access Service related documents and scan to correct form/identifier.
Knowledge, Skills, and Abilities
Knowledge of Medical Terminology.
Knowledge of insurances, billing and collections guidelines/criteria.
Knowledge of Local, State, and Federal regulations governing registration/billing activities including Joint Commission, Title XXII, Medicare and Medi-Cal regulations.
Knowledge of ICD-10, CPT, and/or RVS coding.
Knowledge of Medicare Important Message, Medicare Secondary Payor, Tricare Third Party Liability; Auto Accident and Work Comp, Medicare/Outpatient Observation Notice.
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
Auto-ApplyAccess Service Representative - Admitting - Coronado Hospital - Variable Shift - Per Diem
Service representative job at Sharp HealthCare
**Facility:** Coronado Hospital **City** Coronado **Department** **Job Status** Per Diem **Shift** Variable **FTE** 0 **Shift Start Time** **Shift End Time** H.S. Diploma or Equivalent **Hours** **:** **Shift Start Time:** Variable **Shift End Time:** Variable **AWS Hours Requirement:**
8/40 - 8 Hour Shift
**Additional Shift Information:**
**Weekend Requirements:**
As Needed
**On-Call Required:**
No
**Hourly Pay Range (Minimum - Midpoint - Maximum):**
$26.950 - $32.340 - $37.730
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.
As part of our recruitment process, you may receive communication from Dawn, our virtual recruiting assistant. Dawn helps coordinate scheduling for screening calls and interviews to ensure a smooth and timely experience. Rest assured, all candidate evaluations and hiring decisions are made by our recruitment and hiring teams.
**What You Will Do**
Coordinates all registration functions necessary to ensure the processing of a clean claim including but not limited to obtaining and processing patient demographics, visit and financial information in a manner that facilitate maximum financial reimbursement and promotes premier customer service. This role utilizes Patient Secure to identify the accurate patient medical record while adhering to EMTALA regulations and performs face-to-face interviews directly with patients and/or their designated representatives. Accurate identification and delivery of regulatory documents and securing patient financial responsibility is a key responsibility.
**Required Qualifications**
+ 2 Years experience in a business service setting.
+ Must have experience communicating effectively both verbally and in writing professionally.
**Preferred Qualifications**
+ H.S. Diploma or Equivalent
+ Experience communicating and discussing personal and financial matters with patients and/or their representatives is preferred.
**Other Qualification Requirements**
+ HFMA certifications preferred.
**Essential Functions**
+ CollectionsFollow department guidelines for providing patient with estimate letter.Request payment of co-pay, deductible, estimated out of pocket or good-faith deposit in a manner specified in department and hospital policies. If patient unable to pay requested amount, negotiate some portion.Receive and process funds, print and file receipt, and update Centricity visit comments. Secure all funds and receipts in accordance with department standard.
+ Completes insurance verification and evaluation Insurance/Plan Selection:After medical screening (ER settings), obtain health benefit coverage including possible accident related coverage. Input all insurance coverage information into Centricity Insurance Verification (IF). If patient unable to provide insurance, search for potential coverage through MCA for SRS/SCMG and MPV (or Portal) for potential Medicare or Medi-Cal.Use Coordination of Benefits (COB) standards to prioritize billing order of insurance plans.Medicare patients - Medicare Secondary Payer (MSP) questionnaire is completed.Validate insurance eligibility electronically (e.g. MPV, Experian) when applicable. Validate health benefit coverage including possible accident related coverage.Validate and identify the Primary Medical Group on Health Maintenance Organizations (HMO) patients. Notify the clinical staff, including physician, on patients that are out-of-network.Follow process to estimate patient out of pocket based upon department guidelines and collect patient financial responsibility.Communicate to patient and leadership when unusually high out of pocket, unusually limited coverage, and/or if insurance is out of network (OON) following the guidelines established for the facility.Unfunded:Initiate interview on unfunded/underfunded patients. Input financial screening results into Pointcare fields as appropriate and provide patient with potential coverage options. Complete the process by recording the outcome through X8 function.Complete HPE (Hospital Presumptive Eligibility) process when appropriate.Document in Centricity visit comments if patient declined or completed financial screening.Follow self-pay process (aka toolkit) to discuss the Sharp out of pocket expectation.
+ Customer service Use AIDET, key words at key times, On-Stage Behavior and support 5-star results on patient satisfaction.Communicates effectively both orally and in writing sufficient to perform the essential job functions. Use tact and empathy in working with customers under stressful situations and with frequent interruptions.Avoid abbreviations when communicating to patient.Adapt and protect patient privacy as needed (i.e. lowering voice, using face sheets vs. verbal interviews).Practice good interpersonal and communication skills and ability to work well with others contributing to a team environment.Practice a positive and constructive attitude at all times.Negotiates with others, handles minor complaints by settling disputes, grievances, and conflicts.Perform service recovery when The Sharp Experience does not go right in accordance to the department standards and Sharp's Behavior Standard Service Recovery.Identify solutions to issues not covered by verbal or written instructions.
+ Demonstrates initiative and teamwork Prioritize job responsibilities effectively. Keep management informed of backlogs or slow volume. Round on patients when volumes are low as identified by your department.Patients are processed timely based upon depart standards such as quality audits, time, and production measurements.Offer to assist others and asks for assistance in completing of assignments, as needed.Inform patient/families of admission delays and cause if known or allowed.Promotes a team approach in completion of department duties.Contributes to department production by maintaining expected level of productivity designated by the department.
+ Other duties As directed by Leadership, provide ongoing support of department and hospital needs as assigned.When applicable, collect patient valuables according to policy and secure them by entering into log and dropping into department safe. Follow hospital policy to release valuables.When applicable, update Patient Type, Bed Placement, Accommodation Code, Attending Physician.ED Unit Clerk (SCO only):Responsible for handling outgoing/incoming Emergency Department calls including outgoing calls for consultations and ancillary services. Calls to physicians and ancillary service areas will be documented in the EMR.Obtain medical records and facilitate transfers from/to outside facilities.Create patient chart for physician and organize charts for the HIM department. Compile workers' compensation paperwork for the ED physician.Monitor ED cafe supplies.Handle outgoing calls to other departments for ED.Input discharge disposition information obtained from EHR orders into patient admission-discharge-transfer (ADT) application.Customer Information Center duties (SCO only):Initiate ED Code calls using the overhead paging system and Code Log Book online.Answer CIC phone lines after business hours and monitor alarm panels for incoming Codes.
+ Patient registration Patient Safety:Authenticate and/or enroll patient at workstations where Patient Secure palm scanner is available. Follow established guidelines such as scripting and picture identification for enrollment and authentication.In absence of Patient Secure workstation, use at least two patient identifiers to confirm patient identity.Notify DUPREG and document potential duplicate and overlap registrations when identified.Demographic Collection:Populate all demographic screens for new and established patients. In applicable cases, follow registration guidelines for Doe and Trauma patients.Update regulatory fields in demographic data with patient choices on regulatory forms such as Notice of Privacy Practice (NPP), Advanced Directive for Health Care (ADHC), Health Information Exchange (HIE).Secure patient signature on address attestation.If service is accident related, update appropriate visit fields indicating known details.Follow defined documentation process with homeless patient (i.e. notating 'SB1152' in FirstNet and Edit Visit (EV) form comments).
+ Regulatory responsibilities Observe EMTALA regulations (Emergency Room/ER settings) by avoiding communication of financial information (such as eligibility, copays, authorization) until medical screening is completed. This includes avoiding discussion of financial issues with clinical counterparts, health insurances, or patient family/friends until after medical screening.Using scripting, review Conditions of Admission (COA). If unable to secure signature, indicate reason in Centricity visit comments. Based upon COA patient review, update appropriate Centricity fields related to status of ADHC, No Publish, Notice of Privacy Practices, and Patient Rights. More fields may be added as regulations change.In cases where Tricare or Medicare/Medicare Advantage is primary or secondary, use scripting to review and deliver appropriate regulatory form (Tricare Rights, Tricare Third Party Liability, and Important Message from Medicare (IMM) form). If signature secured, update Centricity fields in appropriate insurance follow-up field. If unable to secure signature, indicate reason in Centricity visit comments.Follow guidelines for delivery of Medicare Outpatient Observation (MOON) and Outpatient Observation Notice (OON) to all patients being admitted in an Observation status.Request and input Primary Care Provider (PCP) information and initiate Health Information Exchange (HIE) process as appropriate.In areas performing post regulatory review, address outstanding alerts in the Centricity Alerts Manager based upon your department's workflow.Document Imaging - Secure necessary Access Service related documents and scan to correct form/identifier.
**Knowledge, Skills, and Abilities**
+ Knowledge of Medical Terminology.
+ Knowledge of insurances, billing and collections guidelines/criteria.
+ Knowledge of Local, State, and Federal regulations governing registration/billing activities including Joint Commission, Title XXII, Medicare and Medi-Cal regulations.
+ Knowledge of ICD-10, CPT, and/or RVS coding.
+ Knowledge of Medicare Important Message, Medicare Secondary Payor, Tricare Third Party Liability; Auto Accident and Work Comp, Medicare/Outpatient Observation Notice.
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
Patient Services Representative II
Vallejo, CA jobs
We are so glad you are interested in joining Sutter Health! Organization: SEBMF-East Bay Medical Foundation Serves as the first point of contact for patients entering the medical facility. This job is intended for use by positions employed by an outpatient facility. Greets and checks-in patients, verifies information, schedules appointments, and updates Electronic Health record (EHR). Facilitates intake procedures such as completion of healthcare and insurance forms and collecting payments for services. Gains confidence and cooperation from the patient, their family/support group, and other healthcare providers through competent job performance and effective communication. Adheres to all organizational, local/state/federal regulations, codes, policies and procedures to ensure privacy and safety while delivering optimal patient care. May also be responsible for performing specific tasks and/or orient other staff to the department.
Location: Primarily based in Oakland, CA, with travel and coverage required across all SEBMF locations as needed, including Berkeley, Albany, Castro Valley, Orinda, Richmond, Lafayette, Antioch, Brentwood, and Vallejo.
Schedule: Varied 8-hour day shifts ranging between 6:45 AM - 8:15 PM, including weekends and holidays.
Job Description:
EDUCATION:
Equivalent experience will be accepted in lieu of the required degree or diploma.
* HS Diploma or equivalent education/experience
TYPICAL EXPERIENCE:
* 1 year of recent relevant experience.
SKILLS AND KNOWLEDGE:
* Basic knowledge of insurance policies and procedures, as well as patient billing.
* Ability to interpret a variety of data and instructions, furnished in written, oral, diagram, or schedule form.
* Possess written and verbal communications skills to communicate with fellow team members, supervisors, patients, and other hospital personnel.
* Well-developed time management and organizational skills, including the ability to prioritize assignments and work within standardized policies and procedures to achieve objectives and meet deadlines.
* General knowledge of computer applications, such as Microsoft Office Suite (Word, Excel and Outlook).
* Prioritize assignments and work within standardized policies and procedures to achieve objectives and meet deadlines.
* Work independently, as well as be part of the team, including accomplishing multiple tasks in an environment with interruptions.
* Identify, evaluate and resolve standard problems by selecting appropriate solutions from established options.
* Ensure the privacy of each patient's Protected Health Information (PHI).
* Build collaborate relationships with peers and other staff members to achieve departmental and corporate objectives.
#LI-GO1
Job Shift:
Varied
Schedule:
Full Time
Shift Hours:
8
Days of the Week:
Variable
Weekend Requirements:
Saturday, Sunday
Benefits:
Yes
Unions:
No
Position Status:
Non-Exempt
Weekly Hours:
40
Employee Status:
Regular
Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.
Pay Range is $30.34 to $37.92 / hour
The salary range for this role may vary above or below the posted range as determined by location. This range has not been adjusted for any specific geographic differential applicable by area where the position may be filled. Compensation takes into account several factors including but not limited to a candidate's experience, education, skills, licensure and certifications, department equity, training and organizational needs. Base pay is just one piece of the total rewards program offered by Sutter Health. Eligible roles also qualify for a comprehensive benefits package.
Chart Completion Representative, Hospice
Sacramento, CA jobs
We are so glad you are interested in joining Sutter Health! Organization: SCAH-Sutter Care at Home - Valley Maintains the electronic health record by analyzing medical records for completeness. Determines deficiencies and notifies providers to complete records. Ensures accurate and timely filing and chart order of medical records as well as maintenance and retrieval of medical records and reports. Creates and routes chart folders for new patients, collects all current discharges and old charts from various departments. May work with Physicians regarding incomplete charts. Adheres to all standards regarding patient confidentiality; rules of conduct as outlined in policy; and departmental rules, policies and procedures.
Job Description:
FULL-TIME DAY SHIFTS: Monday - Friday / No Weekends
EDUCATION:
* HS Diploma or General Education Diploma (GED)
SKILLS AND KNOWLEDGE:
* Knowledge of Medical terminology, chart analysis, medical record tracking, abstracting.
* Verbal communication and telephone skills.
* Ability to deal effectively with detailed confidential information.
* Knowledge of Windows and Microsoft Office applications experience.
* Ability to read and comprehend complex instructions, correspondence and medical record documentation.
* Development of good working relationships with physicians, clinical ancillary departments, department coworkers, and other health care professionals.
* Knowledge of Electronic Health Records system applications.
Job Shift:
Days
Schedule:
Full Time
Shift Hours:
8
Days of the Week:
Monday - Friday
Weekend Requirements:
None
Benefits:
Yes
Unions:
Yes
Position Status:
Non-Exempt
Weekly Hours:
40
Employee Status:
Regular
Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.
Pay Range is $24.00 to $32.10 / hour
The salary range for this role may vary above or below the posted range as determined by location. This range has not been adjusted for any specific geographic differential applicable by area where the position may be filled. Compensation takes into account several factors including but not limited to a candidate's experience, education, skills, licensure and certifications, department equity, training and organizational needs. Base pay is just one piece of the total rewards program offered by Sutter Health. Eligible roles also qualify for a comprehensive benefits package.
Patient Services Representative II - Limited Term
Oakland, CA jobs
We are so glad you are interested in joining Sutter Health! Organization: SEBMF-East Bay Medical Foundation Serves as the first point of contact for patients entering the medical facility. This job is intended for use by positions employed by an outpatient facility. Greets and checks-in patients, verifies information, schedules appointments, and updates Electronic Health record (EHR). Facilitates intake procedures such as completion of healthcare and insurance forms and collecting payments for services. Gains confidence and cooperation from the patient, their family/support group, and other healthcare providers through competent job performance and effective communication. Adheres to all organizational, local/state/federal regulations, codes, policies and procedures to ensure privacy and safety while delivering optimal patient care. May also be responsible for performing specific tasks and/or orient other staff to the department.
Limited Term: 6-month contract with Sutter Health benefits
Schedule: 5 days a week with varied 8-hour shifts ranging between 6:45 am - 8:15 pm, including weekends and holidays
Location: Primarily based in Oakland, CA, with travel and coverage required across all SEBMF locations as needed, including Berkeley, Albany, Castro Valley, Orinda, Richmond, Lafayette, Antioch, and Brentwood.
Job Description:
EDUCATION:
Equivalent experience will be accepted in lieu of the required degree or diploma.
* HS Diploma or equivalent education/experience
TYPICAL EXPERIENCE:
* 1 year of recent relevant experience.
SKILLS AND KNOWLEDGE:
* Basic knowledge of insurance policies and procedures, as well as patient billing.
* Ability to interpret a variety of data and instructions, furnished in written, oral, diagram, or schedule form.
* Possess written and verbal communications skills to communicate with fellow team members, supervisors, patients, and other hospital personnel.
* Well-developed time management and organizational skills, including the ability to prioritize assignments and work within standardized policies and procedures to achieve objectives and meet deadlines.
* General knowledge of computer applications, such as Microsoft Office Suite (Word, Excel and Outlook).
* Prioritize assignments and work within standardized policies and procedures to achieve objectives and meet deadlines.
* Work independently, as well as be part of the team, including accomplishing multiple tasks in an environment with interruptions.
* Identify, evaluate and resolve standard problems by selecting appropriate solutions from established options.
* Ensure the privacy of each patient's Protected Health Information (PHI).
* Build collaborate relationships with peers and other staff members to achieve departmental and corporate objectives.
#LI-GO1
Job Shift:
Varied
Schedule:
Full Time
Shift Hours:
8
Days of the Week:
Variable
Weekend Requirements:
Saturday, Sunday
Benefits:
Yes
Unions:
No
Position Status:
Non-Exempt
Weekly Hours:
40
Employee Status:
Limited Term (Fixed Term)
Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.
Pay Range is $30.34 to $37.92 / hour
The salary range for this role may vary above or below the posted range as determined by location. This range has not been adjusted for any specific geographic differential applicable by area where the position may be filled. Compensation takes into account several factors including but not limited to a candidate's experience, education, skills, licensure and certifications, department equity, training and organizational needs. Base pay is just one piece of the total rewards program offered by Sutter Health. Eligible roles also qualify for a comprehensive benefits package.
Access Service Representative - Admitting - Chula Vista/Coronado Float - Day - Per Diem
Service representative job at Sharp HealthCare
Hours:
Shift Start Time:
Variable
Shift End Time:
Variable
AWS Hours Requirement:
8/40 - 8 Hour Shift
Additional Shift Information:
Weekend Requirements:
As Needed
On-Call Required:
No
Hourly Pay Range (Minimum - Midpoint - Maximum):
$27.830 - $33.390 - $37.400
This position is covered by a Collective Bargaining Agreement (CBA) with SEIU-UHW. As part of the terms of employment, employees in this role are required to join the union within 31 days of hire and remain a member (e.g. dues paying, fee paying, religious exception contributor) for the duration of the collective bargaining agreement.
As part of our recruitment process, you may receive communication from Dawn, our virtual recruiting assistant. Dawn helps coordinate scheduling for screening calls and interviews to ensure a smooth and timely experience. Rest assured, all candidate evaluations and hiring decisions are made by our recruitment and hiring teams.
This position was originally posted to ratified SEIU members from 10/08/25 - 10/16/25. The position is now available to be filled by internal candidates that are not members of the ratified Bargaining Unit or External candidates to Sharp.
What You Will Do
Coordinates all registration functions necessary to ensure the processing of a clean claim including but not limited to obtaining and processing patient demographics, visit and financial information in a manner that facilitate maximum financial reimbursement and promotes premier customer service. This role utilizes Patient Secure to identify the accurate patient medical record while adhering to EMTALA regulations and performs face-to-face interviews directly with patients and/or their designated representatives. Accurate identification and delivery of regulatory documents and securing patient financial responsibility is a key responsibility.
Required Qualifications
2 Years experience in a business service setting.
Must have experience communicating effectively both verbally and in writing professionally.
Preferred Qualifications
H.S. Diploma or Equivalent
Experience communicating and discussing personal and financial matters with patients and/or their representatives is preferred.
Other Qualification Requirements
HFMA certifications preferred.
Essential Functions
Collections
Follow department guidelines for providing patient with estimate letter.
Request payment of co-pay, deductible, estimated out of pocket or good-faith deposit in a manner specified in department and hospital policies. If patient unable to pay requested amount, negotiate some portion.
Receive and process funds, print and file receipt, and update Centricity visit comments. Secure all funds and receipts in accordance with department standard.
Completes insurance verification and evaluation
Insurance/Plan Selection:
After medical screening (ER settings), obtain health benefit coverage including possible accident related coverage. Input all insurance coverage information into Centricity Insurance Verification (IF). If patient unable to provide insurance, search for potential coverage through MCA for SRS/SCMG and MPV (or Portal) for potential Medicare or Medi-Cal.
Use Coordination of Benefits (COB) standards to prioritize billing order of insurance plans.
Medicare patients - Medicare Secondary Payer (MSP) questionnaire is completed.
Validate insurance eligibility electronically (e.g. MPV, Experian) when applicable. Validate health benefit coverage including possible accident related coverage.
Validate and identify the Primary Medical Group on Health Maintenance Organizations (HMO) patients. Notify the clinical staff, including physician, on patients that are out-of-network.
Follow process to estimate patient out of pocket based upon department guidelines and collect patient financial responsibility.
Communicate to patient and leadership when unusually high out of pocket, unusually limited coverage, and/or if insurance is out of network (OON) following the guidelines established for the facility.
Unfunded:
Initiate interview on unfunded/underfunded patients. Input financial screening results into Pointcare fields as appropriate and provide patient with potential coverage options. Complete the process by recording the outcome through X8 function.
Complete HPE (Hospital Presumptive Eligibility) process when appropriate.
Document in Centricity visit comments if patient declined or completed financial screening.
Follow self-pay process (aka toolkit) to discuss the Sharp out of pocket expectation.
Customer service
Use AIDET, key words at key times, On-Stage Behavior and support 5-star results on patient satisfaction.
Communicates effectively both orally and in writing sufficient to perform the essential job functions. Use tact and empathy in working with customers under stressful situations and with frequent interruptions.
Avoid abbreviations when communicating to patient.
Adapt and protect patient privacy as needed (i.e. lowering voice, using face sheets vs. verbal interviews).
Practice good interpersonal and communication skills and ability to work well with others contributing to a team environment.
Practice a positive and constructive attitude at all times.
Negotiates with others, handles minor complaints by settling disputes, grievances, and conflicts.
Perform service recovery when The Sharp Experience does not go right in accordance to the department standards and Sharp's Behavior Standard Service Recovery.
Identify solutions to issues not covered by verbal or written instructions.
Demonstrates initiative and teamwork
Prioritize job responsibilities effectively. Keep management informed of backlogs or slow volume. Round on patients when volumes are low as identified by your department.
Patients are processed timely based upon depart standards such as quality audits, time, and production measurements.
Offer to assist others and asks for assistance in completing of assignments, as needed.
Inform patient/families of admission delays and cause if known or allowed.
Promotes a team approach in completion of department duties.
Contributes to department production by maintaining expected level of productivity designated by the department.
Other duties
As directed by Leadership, provide ongoing support of department and hospital needs as assigned.
When applicable, collect patient valuables according to policy and secure them by entering into log and dropping into department safe. Follow hospital policy to release valuables.
When applicable, update Patient Type, Bed Placement, Accommodation Code, Attending Physician.
ED Unit Clerk (SCO only):
Responsible for handling outgoing/incoming Emergency Department calls including outgoing calls for consultations and ancillary services. Calls to physicians and ancillary service areas will be documented in the EMR.
Obtain medical records and facilitate transfers from/to outside facilities.
Create patient chart for physician and organize charts for the HIM department. Compile workers' compensation paperwork for the ED physician.
Monitor ED cafe supplies.
Handle outgoing calls to other departments for ED.
Input discharge disposition information obtained from EHR orders into patient admission-discharge-transfer (ADT) application.
Customer Information Center duties (SCO only):
Initiate ED Code calls using the overhead paging system and Code Log Book online.
Answer CIC phone lines after business hours and monitor alarm panels for incoming Codes.
Patient registration
Patient Safety:
Authenticate and/or enroll patient at workstations where Patient Secure palm scanner is available. Follow established guidelines such as scripting and picture identification for enrollment and authentication.
In absence of Patient Secure workstation, use at least two patient identifiers to confirm patient identity.
Notify DUPREG and document potential duplicate and overlap registrations when identified.
Demographic Collection:
Populate all demographic screens for new and established patients. In applicable cases, follow registration guidelines for Doe and Trauma patients.
Update regulatory fields in demographic data with patient choices on regulatory forms such as Notice of Privacy Practice (NPP), Advanced Directive for Health Care (ADHC), Health Information Exchange (HIE).
Secure patient signature on address attestation.
If service is accident related, update appropriate visit fields indicating known details.
Follow defined documentation process with homeless patient (i.e. notating 'SB1152' in FirstNet and Edit Visit (EV) form comments).
Regulatory responsibilities
Observe EMTALA regulations (Emergency Room/ER settings) by avoiding communication of financial information (such as eligibility, copays, authorization) until medical screening is completed. This includes avoiding discussion of financial issues with clinical counterparts, health insurances, or patient family/friends until after medical screening.
Using scripting, review Conditions of Admission (COA). If unable to secure signature, indicate reason in Centricity visit comments. Based upon COA patient review, update appropriate Centricity fields related to status of ADHC, No Publish, Notice of Privacy Practices, and Patient Rights. More fields may be added as regulations change.
In cases where Tricare or Medicare/Medicare Advantage is primary or secondary, use scripting to review and deliver appropriate regulatory form (Tricare Rights, Tricare Third Party Liability, and Important Message from Medicare (IMM) form). If signature secured, update Centricity fields in appropriate insurance follow-up field. If unable to secure signature, indicate reason in Centricity visit comments.
Follow guidelines for delivery of Medicare Outpatient Observation (MOON) and Outpatient Observation Notice (OON) to all patients being admitted in an Observation status.
Request and input Primary Care Provider (PCP) information and initiate Health Information Exchange (HIE) process as appropriate.
In areas performing post regulatory review, address outstanding alerts in the Centricity Alerts Manager based upon your department's workflow.
Document Imaging - Secure necessary Access Service related documents and scan to correct form/identifier.
Knowledge, Skills, and Abilities
Knowledge of Medical Terminology.
Knowledge of insurances, billing and collections guidelines/criteria.
Knowledge of Local, State, and Federal regulations governing registration/billing activities including Joint Commission, Title XXII, Medicare and Medi-Cal regulations.
Knowledge of ICD-10, CPT, and/or RVS coding.
Knowledge of Medicare Important Message, Medicare Secondary Payor, Tricare Third Party Liability; Auto Accident and Work Comp, Medicare/Outpatient Observation Notice.
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
Auto-ApplyPatient Service Representative - Breast Care Center - Chula Vista
Chula Vista, CA jobs
Located less than 10 miles from the US-Mexico border, the Chula Vista campus of Scripps Mercy serves the cities of Chula Vista, Otay Mesa, National City, Imperial Beach, Bonita and beyond. Scripps Mercy Hospital consists of two campuses in San Diego and Chula Vista.
Scripps Mercy Hospital Chula Vista provides a variety of medical and surgical services, including inpatient and outpatient care. Within the hospital you'll find our 24-hour emergency room and many other specialty services ranging from cancer care to stroke care.
This is a Part-Time position (40 hours per pay period) with varied days and start times (will include some weekends and holidays) located at our Scripps Mercy Hospital Chula Vista. You will enjoy comprehensive benefits that cover health & wellness, career development, and retirement options among other benefits.
Why join Scripps Health?
At Scripps Health, your ambition is empowered and your abilities are appreciated:
* Nearly a quarter of our employees have been with Scripps Health for over 10 years.
* Scripps is a Great Place to Work Certified company for 2025.
* Scripps Health has been consistently ranked as a top employer for women, millennials, diversity, and as an overall workplace by various national publications.
* Becker's Healthcare ranked Scripps Health on its 2024 list of 150 top places to work in health care.
* We have transitional and professional development programs to create a learning environment that enables you to thrive in your specific field as well as in your overall career.
* Our specialties have been nationally recognized for quality in areas such as cardiovascular care, oncology, orthopedics, geriatrics, obstetrics and gynecology, and gastroenterology.
Join a caring team supporting Scripps Mercy Hospital Chula Vista as a Patient Service Representative in the Radiology department. You'll be on the front line for creating a positive Scripps Health experience for our patients while being responsible for duties such as the following:
* Interacting with patients and providers to gather information for accurate registration. Assigning of Medical Record Number, appointment scheduling, point of service payment collection, document collection and check-out functions.
* Responding to customer billing and payment inquires.
* Effectively managing the check in or check out process, which includes identification verification; confirming demographic and insurance information; ensuring appropriate forms are provided, signed, and witnessed at the time of the patient visit and accurately preparing end of day reporting or payment reconciliation.
* Scheduling and confirming appointments in person or over the phone and entering appropriate insurance.
* Initiating and validating referrals/authorizations.
* Having a proactive approach to customer service by listening to the patient, taking ownership of solutions and being able to identify the need to involve leadership to resolve concerns.
Required Qualifications:
* Must be able to demonstrate proficiency of computer applications, excellent mathematical skills and ability to handle monies.
* Excellent communication and customer service skills.
* Strong organizational and analytical skills; innovative with ability to identify and solve problems.
Preferred Qualifications:
* 1 year of experience in customer service or a healthcare/medical office environment preferred.
* Able to adapt, prioritize and meet deadlines.
* Knowledge of medical terminology, commercial and government health insurance and billing guidelines, ACA requirements, understanding of DRG's, Medical ICD9/ICD10 codes and CPT/HCPC Codes and Modifiers.
At Scripps Health, you will experience the pride, support and respect of an organization that has been repeatedly recognized as one of the nation's Top 100 Places to Work.
You'll be surrounded by people committed to making a difference in the lives of their patients and their teammates. So if you're open to change, go ahead and unlock your potential.
Position Pay Range: $24.91-$31.45/hour
Patient Account Specialist - PFS Billing Services
San Diego, CA jobs
Scripps Health Administrative Services supports our five hospital campuses, 31 outpatient centers, clinics, emergency rooms, urgent care sites, along with our 17,000 employees, more than 3,000 affiliated physicians and 2,000 volunteers. This is a Full Time (80 hours every pay period) benefited position, Monday-Friday for day shift. Over time additional hours when needed.
Join the Scripps Health team and work alongside passionate caregivers and provide patient-centered healthcare. Receive endless appreciation while you build a rewarding career with one of the most respected healthcare organizations nationwide.
As a Patient Account Specialist, you will be supporting the Billing Services department at our 4S Ranch Business Services location. This role is essential in managing a high volume of hospital Government Insurance/Billing documents, while also performing follow up actions to gather accurate information needed from patients, payers and providers. The ideal candidate is one who thrives in a fast-paced environment and has a passion for insurance and medical claims.
As a Patient Account Specialist, you will be responsible for the following:
* Responsible for working aged reports and credit balances on a regular basis set by department guidelines.
* Follows-up with insurance carriers timely on unpaid claims until claims are paid or only self-pay balance remains. Does not have claims written off for timely filing.
* Processes rejections by either making accounts self-pay and generating a letter of rejection to patient or correct any billing error and resubmitting claims to insurance carriers.
* Keeps updated on all billing requirements and changes for all insurance types.
* Responsible for responding to all inquiries, billing denials, other correspondence and phone requests in an efficient, timely, and effective manner. Secures needed medical documentation required or requested by insurances.
* Works with HIM staff to ensure that complete diagnosis/procedure codes and modifiers are reported to insurance carriers as required.
* Working directly with the insurance company, healthcare provider, liable third parties, and patient to get a claim processed and paid
* Works to help maintain Accounts Receivable (AR) days at or near target level set by the Hospital Senior Team.
* Supporting continuous improvement of organization processes and personal knowledge and skills, and maintaining and protecting confidential information
* Providing excellent customer service through cooperative working relationships, and meeting productivity and quality standards.
#LI-JS1
Required Education/Experience/Specialized Skills:
* Strong working knowledge of managed care plans, insurance carriers, government Payers and payer requirements.
* Knowledge of Medical Terminology and Medicare Compliance.
* Familiarity with HIPAA privacy requirements for patient information.
* Basic understanding of DRG's, Medical ICD9/ICD10 codes and CPT/HCPC Codes.
* Ability to multitask and stay organized.
* Good verbal and written communication skills.
* Detail oriented and ability to prioritize work.
* Requires a moderate level of interpersonal, problem solving, and analytic skills.
* Knowledgeable on insurance and reimbursement process.
* Ability to establish/maintain cooperative working relationships with staff, Medical Staff and providers.
Preferred Education/Experience/Specialized Skills:
* Two years of patient accounts experience in a healthcare setting.
* Working knowledge of healthcare EPIC software preferred.
* Minimum two year experience billing Medicare, Medicaid, Blue Cross and Commercial insurance preferred, three or more years desired.
* Knowledge in Excel, Word and basic computer functions such as saving documents, sharing documents
* Demonstrate strong computer skills required. (Education may be substituted for experience in some areas.)
* Demonstrate knowledge of accounts receivable practices, payer billing and reimbursement procedures and practices.
* Working knowledge of hospital UB04, CPT-4, HCPCS, ICD-10 and Revenue codes.
* Proficient in institutional insurance billing guidelines using 837I X12 Version 005010X279A1 transactions.
At Scripps Health, you will experience the pride, support and respect of an organization that has been repeatedly recognized as one of the nation's Top 100 Places to Work.
You'll be surrounded by people committed to making a difference in the lives of their patients and their teammates. So if you're open to change, go ahead and unlock your potential.
Position Pay Range: $25.40-$33.15/hour
Patient Service Representative - Clinical Lab - Hillcrest
San Diego, CA jobs
Caring for San Diegans since 1924, Scripps Clinic is San Diego's first choice for exceptional primary care and highly specialized and coordinated specialty care. Scripps Clinic offers a comprehensive range of medical and surgical services that are nationally recognized for quality, excellence and innovation. From primary to specialty care, our team-based model is designed to provide the best possible care and outcomes for you and your family. More than 900 providers and physicians provide 1.5 million patient visits a year coordinated through an integrated electronic health record.
This is a Full-Time position (80 hours per pay period) with a Monday - Friday, 6:45AM - 3:45PM, schedule and every other Saturday from 8AM - 11AM, located at our Scripps Clinic in Hillcrest. You will enjoy comprehensive benefits that cover health & wellness, career development, and retirement options among other benefits.
Why join Scripps Health?
At Scripps Health, your ambition is empowered and your abilities are appreciated:
* Nearly a quarter of our employees have been with Scripps Health for over 10 years.
* Scripps is a Great Place to Work Certified company for 2025.
* Scripps Health has been consistently ranked as a top employer for women, millennials, diversity, and as an overall workplace by various national publications.
* Becker's Healthcare ranked Scripps Health on its 2024 list of 150 top places to work in health care.
* We have transitional and professional development programs to create a learning environment that enables you to thrive in your specific field as well as in your overall career.
* Our specialties have been nationally recognized for quality in areas such as cardiovascular care, oncology, orthopedics, geriatrics, obstetrics and gynecology, and gastroenterology.
Join a caring team supporting Scripps Clinic Hillcrest as a Patient Service Representative in the Clinical Lab department. You'll be on the front line for creating a positive Scripps Health experience for our patients while being responsible for duties such as the following:
* Interacting with patients and providers to gather information for accurate registration. Assigning of Medical Record Number, appointment scheduling, point of service payment collection, document collection and check-out functions.
* Responding to customer billing and payment inquires.
* Effectively managing the check in or check out process, which includes identification verification; confirming demographic and insurance information; ensuring appropriate forms are provided, signed, and witnessed at the time of the patient visit and accurately preparing end of day reporting or payment reconciliation.
* Scheduling and confirming appointments in person or over the phone and entering appropriate insurance.
* Initiating and validating referrals/authorizations.
* Having a proactive approach to customer service by listening to the patient, taking ownership of solutions and being able to identify the need to involve leadership to resolve concerns.
Required Qualifications:
* Must be able to demonstrate proficiency of computer applications, excellent mathematical skills and ability to handle monies.
* Excellent communication and customer service skills.
* Strong organizational and analytical skills; innovative with ability to identify and solve problems.
Preferred Qualifications:
* 1 year of experience in customer service or a healthcare/medical office environment preferred.
* Able to adapt, prioritize and meet deadlines.
* Knowledge of medical terminology, commercial and government health insurance and billing guidelines, ACA requirements, understanding of DRG's, Medical ICD9/ICD10 codes and CPT/HCPC Codes and Modifiers.
At Scripps Health, you will experience the pride, support and respect of an organization that has been repeatedly recognized as one of the nation's Top 100 Places to Work.
You'll be surrounded by people committed to making a difference in the lives of their patients and their teammates. So if you're open to change, go ahead and unlock your potential.
Position Pay Range: $24.91-$31.45/hour
Patient Service Representative - SSRS - Systemwide Float Pool
San Diego, CA jobs
Scripps Health Administrative Services supports our five hospital campuses, 31 outpatient centers, clinics, emergency rooms, urgent care sites, along with our 17,000 employees, more than 3,000 affiliated physicians and 2,000 volunteers. This is a pipeline req for all PSR - SSRS positions within Scripps Health. Seeking Full Time staff with Varied shifts between 7AM - 7PM, including weekends and holidays as needed. Flexibility is required with schedule and willingness to float to other sites. An hourly shift differential is provided to all SSRS employees.
Our Scripps System-wide Resource Services (SSRS) department supports the entire Scripps Health system. As a member of the float team, you can fill vital roles on assignments throughout the system to provide critical coverage for employee's leave of absences, sick calls, and peak service demands while gaining experience in a variety of environments.
Why join Scripps Health?
At Scripps Health, your ambition is empowered and your abilities are appreciated:
* Nearly a quarter of our employees have been with Scripps Health for over 10 years.
* Scripps is a Great Place to Work Certified company for 2025.
* Scripps Health has been consistently ranked as a top employer for women, millennials, diversity, and as an overall workplace by various national publications.
* Becker's Healthcare ranked Scripps Health on its 2024 list of 150 top places to work in health care.
* We have transitional and professional development programs to create a learning environment that enables you to thrive in your specific field as well as in your overall career.
* Our specialties have been nationally recognized for quality in areas such as cardiovascular care, oncology, orthopedics, geriatrics, obstetrics and gynecology, and gastroenterology.
Join our Scripps SSRS team as a Patient Service Representative where you will provide direct patient care within the scope of your practice. This includes the following: Responsible for interacting with patients, payers and providers to gather information necessary for accurate registration including assigning of appropriate Medical Record Number, scheduling, referral/authorization, point of service payment collection, document collection and arrival/check-in functions. Responds to customer billing and payment inquires as needed. Effectively manages the patient check-in and check-out process from start to finish, which includes identification verification; updating or confirming demographic and insurance information on every patient; ensuring appropriate forms are provided, signed and witnessed at the time of the patient visit; collecting patient payment responsibility and accurately preparing end of day reporting or payment reconciliation as needed. Escalating billing inquiries as needed. Accurately scheduling patient appointments. Successful scheduling includes, but not limited to, exhibiting proficiency in appointment scheduling procedures, accurate documentation and routing of messages, scheduling and confirming appointments according to practice guidelines, entering appropriate insurance, performing Key User duties with minimal errors. May be responsible for initiating and validating referrals/authorizations. Regularly displays a proactive approach to customer service by listening to the patient, taking ownership of solutions and is able to accurately identify the need to involve leadership in order to resolve concerns.
The types of opportunities we offer are as follows:
SYSTEM WIDE FLOAT TEAM - Permanent Scripps employees who support long-term assignments, typically 12 weeks in duration.
Required Qualifications:
* One (1) or more years' experience customer service or healthcare/medical office environment experience.
* Must be able to demonstrate proficiency of computer applications, excellent mathematical skills and ability to handle monies.
* Excellent communication and customer service skills.
* Strong organizational and analytical skills; innovative with ability to identify and solve problems.
Preferred Qualifications:
* Two (2) or more years' experience customer service or healthcare/medical office environment experience.
* Able to adapt, prioritize and meet deadlines.
At Scripps Health, you will experience the pride, support and respect of an organization that has been repeatedly recognized as one of the nation's Top 100 Places to Work.
You'll be surrounded by people committed to making a difference in the lives of their patients and their teammates. So if you're open to change, go ahead and unlock your potential.
Position Pay Range: $24.91-$31.45/hour
Access Service Representative - Admitting - Grossmont Hospital - Night - Part Time (0.6)
Service representative job at Sharp HealthCare
Hours:
Shift Start Time:
11 PM
Shift End Time:
7:30 AM
AWS Hours Requirement:
8/40 - 8 Hour Shift
Additional Shift Information:
Saturday - Monday
Weekend Requirements:
Weekends Only
On-Call Required:
No
Hourly Pay Range (Minimum - Midpoint - Maximum):
$25.300 - $30.360 - $34.000
This position is covered by a Collective Bargaining Agreement (CBA) with SEIU-UHW. As part of the terms of employment, employees in this role are required to join the union within 31 days of hire and remain a member (e.g. dues paying, fee paying, religious exception contributor) for the duration of the collective bargaining agreement.
As part of our recruitment process, you may receive communication from Dawn, our virtual recruiting assistant. Dawn helps coordinate scheduling for screening calls and interviews to ensure a smooth and timely experience. Rest assured, all candidate evaluations and hiring decisions are made by our recruitment and hiring teams.
This position was originally posted to ratified SEIU members from 10/07/25 - 10/15/25. The position is now available to be filled by internal candidates that are not members of the ratified Bargaining Unit or External candidates to Sharp.
What You Will Do
Coordinates all registration functions necessary to ensure the processing of a clean claim including but not limited to obtaining and processing patient demographics, visit and financial information in a manner that facilitate maximum financial reimbursement and promotes premier customer service. This role utilizes Patient Secure to identify the accurate patient medical record while adhering to EMTALA regulations and performs face-to-face interviews directly with patients and/or their designated representatives. Accurate identification and delivery of regulatory documents and securing patient financial responsibility is a key responsibility.
Required Qualifications
2 Years experience in a business service setting.
Must have experience communicating effectively both verbally and in writing professionally.
Preferred Qualifications
H.S. Diploma or Equivalent
Experience communicating and discussing personal and financial matters with patients and/or their representatives is preferred.
Other Qualification Requirements
HFMA certifications preferred.
Essential Functions
Collections
Follow department guidelines for providing patient with estimate letter.
Request payment of co-pay, deductible, estimated out of pocket or good-faith deposit in a manner specified in department and hospital policies. If patient unable to pay requested amount, negotiate some portion.
Receive and process funds, print and file receipt, and update Centricity visit comments. Secure all funds and receipts in accordance with department standard.
Completes insurance verification and evaluation
Insurance/Plan Selection:
After medical screening (ER settings), obtain health benefit coverage including possible accident related coverage. Input all insurance coverage information into Centricity Insurance Verification (IF). If patient unable to provide insurance, search for potential coverage through MCA for SRS/SCMG and MPV (or Portal) for potential Medicare or Medi-Cal.
Use Coordination of Benefits (COB) standards to prioritize billing order of insurance plans.
Medicare patients - Medicare Secondary Payer (MSP) questionnaire is completed.
Validate insurance eligibility electronically (e.g. MPV, Experian) when applicable. Validate health benefit coverage including possible accident related coverage.
Validate and identify the Primary Medical Group on Health Maintenance Organizations (HMO) patients. Notify the clinical staff, including physician, on patients that are out-of-network.
Follow process to estimate patient out of pocket based upon department guidelines and collect patient financial responsibility.
Communicate to patient and leadership when unusually high out of pocket, unusually limited coverage, and/or if insurance is out of network (OON) following the guidelines established for the facility.
Unfunded:
Initiate interview on unfunded/underfunded patients. Input financial screening results into Pointcare fields as appropriate and provide patient with potential coverage options. Complete the process by recording the outcome through X8 function.
Complete HPE (Hospital Presumptive Eligibility) process when appropriate.
Document in Centricity visit comments if patient declined or completed financial screening.
Follow self-pay process (aka toolkit) to discuss the Sharp out of pocket expectation.
Customer service
Use AIDET, key words at key times, On-Stage Behavior and support 5-star results on patient satisfaction.
Communicates effectively both orally and in writing sufficient to perform the essential job functions. Use tact and empathy in working with customers under stressful situations and with frequent interruptions.
Avoid abbreviations when communicating to patient.
Adapt and protect patient privacy as needed (i.e. lowering voice, using face sheets vs. verbal interviews).
Practice good interpersonal and communication skills and ability to work well with others contributing to a team environment.
Practice a positive and constructive attitude at all times.
Negotiates with others, handles minor complaints by settling disputes, grievances, and conflicts.
Perform service recovery when The Sharp Experience does not go right in accordance to the department standards and Sharp's Behavior Standard Service Recovery.
Identify solutions to issues not covered by verbal or written instructions.
Demonstrates initiative and teamwork
Prioritize job responsibilities effectively. Keep management informed of backlogs or slow volume. Round on patients when volumes are low as identified by your department.
Patients are processed timely based upon depart standards such as quality audits, time, and production measurements.
Offer to assist others and asks for assistance in completing of assignments, as needed.
Inform patient/families of admission delays and cause if known or allowed.
Promotes a team approach in completion of department duties.
Contributes to department production by maintaining expected level of productivity designated by the department.
Other duties
As directed by Leadership, provide ongoing support of department and hospital needs as assigned.
When applicable, collect patient valuables according to policy and secure them by entering into log and dropping into department safe. Follow hospital policy to release valuables.
When applicable, update Patient Type, Bed Placement, Accommodation Code, Attending Physician.
ED Unit Clerk (SCO only):
Responsible for handling outgoing/incoming Emergency Department calls including outgoing calls for consultations and ancillary services. Calls to physicians and ancillary service areas will be documented in the EMR.
Obtain medical records and facilitate transfers from/to outside facilities.
Create patient chart for physician and organize charts for the HIM department. Compile workers' compensation paperwork for the ED physician.
Monitor ED cafe supplies.
Handle outgoing calls to other departments for ED.
Input discharge disposition information obtained from EHR orders into patient admission-discharge-transfer (ADT) application.
Customer Information Center duties (SCO only):
Initiate ED Code calls using the overhead paging system and Code Log Book online.
Answer CIC phone lines after business hours and monitor alarm panels for incoming Codes.
Patient registration
Patient Safety:
Authenticate and/or enroll patient at workstations where Patient Secure palm scanner is available. Follow established guidelines such as scripting and picture identification for enrollment and authentication.
In absence of Patient Secure workstation, use at least two patient identifiers to confirm patient identity.
Notify DUPREG and document potential duplicate and overlap registrations when identified.
Demographic Collection:
Populate all demographic screens for new and established patients. In applicable cases, follow registration guidelines for Doe and Trauma patients.
Update regulatory fields in demographic data with patient choices on regulatory forms such as Notice of Privacy Practice (NPP), Advanced Directive for Health Care (ADHC), Health Information Exchange (HIE).
Secure patient signature on address attestation.
If service is accident related, update appropriate visit fields indicating known details.
Follow defined documentation process with homeless patient (i.e. notating 'SB1152' in FirstNet and Edit Visit (EV) form comments).
Regulatory responsibilities
Observe EMTALA regulations (Emergency Room/ER settings) by avoiding communication of financial information (such as eligibility, copays, authorization) until medical screening is completed. This includes avoiding discussion of financial issues with clinical counterparts, health insurances, or patient family/friends until after medical screening.
Using scripting, review Conditions of Admission (COA). If unable to secure signature, indicate reason in Centricity visit comments. Based upon COA patient review, update appropriate Centricity fields related to status of ADHC, No Publish, Notice of Privacy Practices, and Patient Rights. More fields may be added as regulations change.
In cases where Tricare or Medicare/Medicare Advantage is primary or secondary, use scripting to review and deliver appropriate regulatory form (Tricare Rights, Tricare Third Party Liability, and Important Message from Medicare (IMM) form). If signature secured, update Centricity fields in appropriate insurance follow-up field. If unable to secure signature, indicate reason in Centricity visit comments.
Follow guidelines for delivery of Medicare Outpatient Observation (MOON) and Outpatient Observation Notice (OON) to all patients being admitted in an Observation status.
Request and input Primary Care Provider (PCP) information and initiate Health Information Exchange (HIE) process as appropriate.
In areas performing post regulatory review, address outstanding alerts in the Centricity Alerts Manager based upon your department's workflow.
Document Imaging - Secure necessary Access Service related documents and scan to correct form/identifier.
Knowledge, Skills, and Abilities
Knowledge of Medical Terminology.
Knowledge of insurances, billing and collections guidelines/criteria.
Knowledge of Local, State, and Federal regulations governing registration/billing activities including Joint Commission, Title XXII, Medicare and Medi-Cal regulations.
Knowledge of ICD-10, CPT, and/or RVS coding.
Knowledge of Medicare Important Message, Medicare Secondary Payor, Tricare Third Party Liability; Auto Accident and Work Comp, Medicare/Outpatient Observation Notice.
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
Auto-ApplyPatient Account Specialist - PFS Billing Services
San Diego, CA jobs
Required Education/Experience/Specialized Skills:
Strong working knowledge of managed care plans, insurance carriers, government Payers and payer requirements.
Knowledge of Medical Terminology and Medicare Compliance.
Familiarity with HIPAA privacy requirements for patient information.
Basic understanding of DRG's, Medical ICD9/ICD10 codes and CPT/HCPC Codes.
Ability to multitask and stay organized.
Good verbal and written communication skills.
Detail oriented and ability to prioritize work.
Requires a moderate level of interpersonal, problem solving, and analytic skills.
Knowledgeable on insurance and reimbursement process.
Ability to establish/maintain cooperative working relationships with staff, Medical Staff and providers.
Preferred Education/Experience/Specialized Skills:
Two years of patient accounts experience in a healthcare setting.
Working knowledge of healthcare EPIC software preferred.
Minimum two year experience billing Medicare, Medicaid, Blue Cross and Commercial insurance preferred, three or more years desired.
Knowledge in Excel, Word and basic computer functions such as saving documents, sharing documents
Demonstrate strong computer skills required. (Education may be substituted for experience in some areas.)
Demonstrate knowledge of accounts receivable practices, payer billing and reimbursement procedures and practices.
Working knowledge of hospital UB04, CPT-4, HCPCS, ICD-10 and Revenue codes.
Proficient in institutional insurance billing guidelines using 837I X12 Version 005010X279A1 transactions.
This is a Full Time (80 hours every pay period) benefited position, Monday-Friday for day shift. Over time additional hours when needed.
Join the Scripps Health team and work alongside passionate caregivers and provide patient-centered healthcare. Receive endless appreciation while you build a rewarding career with one of the most respected healthcare organizations nationwide.
As a Patient Account Specialist, you will be supporting the Billing Services department at our 4S Ranch Business Services location. This role is essential in managing a high volume of hospital Government Insurance/Billing documents, while also performing follow up actions to gather accurate information needed from patients, payers and providers. The ideal candidate is one who thrives in a fast-paced environment and has a passion for insurance and medical claims.
As a Patient Account Specialist, you will be responsible for the following:
Responsible for working aged reports and credit balances on a regular basis set by department guidelines.
Follows-up with insurance carriers timely on unpaid claims until claims are paid or only self-pay balance remains. Does not have claims written off for timely filing.
Processes rejections by either making accounts self-pay and generating a letter of rejection to patient or correct any billing error and resubmitting claims to insurance carriers.
Keeps updated on all billing requirements and changes for all insurance types.
Responsible for responding to all inquiries, billing denials, other correspondence and phone requests in an efficient, timely, and effective manner. Secures needed medical documentation required or requested by insurances.
Works with HIM staff to ensure that complete diagnosis/procedure codes and modifiers are reported to insurance carriers as required.
Working directly with the insurance company, healthcare provider, liable third parties, and patient to get a claim processed and paid
Works to help maintain Accounts Receivable (AR) days at or near target level set by the Hospital Senior Team.
Supporting continuous improvement of organization processes and personal knowledge and skills, and maintaining and protecting confidential information
Providing excellent customer service through cooperative working relationships, and meeting productivity and quality standards.
#LI-JS1
Auto-ApplyAccess Service Representative - Admitting and ED - Coronado Hospital - Day - Full Time
Service representative job at Sharp HealthCare
**Facility:** Coronado Hospital **City** Coronado **Department** **Job Status** Regular **Shift** Day **FTE** 1 **Shift Start Time** **Shift End Time** H.S. Diploma or Equivalent **Hours** **:** **Shift Start Time:** 9:30 AM **Shift End Time:** 6 PM **AWS Hours Requirement:**
8/40 - 8 Hour Shift
**Additional Shift Information:**
**Weekend Requirements:**
No Weekends
**On-Call Required:**
No
**Hourly Pay Range (Minimum - Midpoint - Maximum):**
$24.500 - $29.400 - $34.300
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.
As part of our recruitment process, you may receive communication from Dawn, our virtual recruiting assistant. Dawn helps coordinate scheduling for screening calls and interviews to ensure a smooth and timely experience. Rest assured, all candidate evaluations and hiring decisions are made by our recruitment and hiring teams.
**What You Will Do**
Coordinates all registration functions necessary to ensure the processing of a clean claim including but not limited to obtaining and processing patient demographics, visit and financial information in a manner that facilitate maximum financial reimbursement and promotes premier customer service. This role utilizes Patient Secure to identify the accurate patient medical record while adhering to EMTALA regulations and performs face-to-face interviews directly with patients and/or their designated representatives. Accurate identification and delivery of regulatory documents and securing patient financial responsibility is a key responsibility.
**Required Qualifications**
+ 2 Years experience in a business service setting.
+ Must have experience communicating effectively both verbally and in writing professionally.
**Preferred Qualifications**
+ H.S. Diploma or Equivalent
+ Experience communicating and discussing personal and financial matters with patients and/or their representatives is preferred.
**Other Qualification Requirements**
+ HFMA certifications preferred.
**Essential Functions**
+ CollectionsFollow department guidelines for providing patient with estimate letter.Request payment of co-pay, deductible, estimated out of pocket or good-faith deposit in a manner specified in department and hospital policies. If patient unable to pay requested amount, negotiate some portion.Receive and process funds, print and file receipt, and update Centricity visit comments. Secure all funds and receipts in accordance with department standard.
+ Completes insurance verification and evaluation Insurance/Plan Selection:After medical screening (ER settings), obtain health benefit coverage including possible accident related coverage. Input all insurance coverage information into Centricity Insurance Verification (IF). If patient unable to provide insurance, search for potential coverage through MCA for SRS/SCMG and MPV (or Portal) for potential Medicare or Medi-Cal.Use Coordination of Benefits (COB) standards to prioritize billing order of insurance plans.Medicare patients - Medicare Secondary Payer (MSP) questionnaire is completed.Validate insurance eligibility electronically (e.g. MPV, Experian) when applicable. Validate health benefit coverage including possible accident related coverage.Validate and identify the Primary Medical Group on Health Maintenance Organizations (HMO) patients. Notify the clinical staff, including physician, on patients that are out-of-network.Follow process to estimate patient out of pocket based upon department guidelines and collect patient financial responsibility.Communicate to patient and leadership when unusually high out of pocket, unusually limited coverage, and/or if insurance is out of network (OON) following the guidelines established for the facility.Unfunded:Initiate interview on unfunded/underfunded patients. Input financial screening results into Pointcare fields as appropriate and provide patient with potential coverage options. Complete the process by recording the outcome through X8 function.Complete HPE (Hospital Presumptive Eligibility) process when appropriate.Document in Centricity visit comments if patient declined or completed financial screening.Follow self-pay process (aka toolkit) to discuss the Sharp out of pocket expectation.
+ Customer service Use AIDET, key words at key times, On-Stage Behavior and support 5-star results on patient satisfaction.Communicates effectively both orally and in writing sufficient to perform the essential job functions. Use tact and empathy in working with customers under stressful situations and with frequent interruptions.Avoid abbreviations when communicating to patient.Adapt and protect patient privacy as needed (i.e. lowering voice, using face sheets vs. verbal interviews).Practice good interpersonal and communication skills and ability to work well with others contributing to a team environment.Practice a positive and constructive attitude at all times.Negotiates with others, handles minor complaints by settling disputes, grievances, and conflicts.Perform service recovery when The Sharp Experience does not go right in accordance to the department standards and Sharp's Behavior Standard Service Recovery.Identify solutions to issues not covered by verbal or written instructions.
+ Demonstrates initiative and teamwork Prioritize job responsibilities effectively. Keep management informed of backlogs or slow volume. Round on patients when volumes are low as identified by your department.Patients are processed timely based upon depart standards such as quality audits, time, and production measurements.Offer to assist others and asks for assistance in completing of assignments, as needed.Inform patient/families of admission delays and cause if known or allowed.Promotes a team approach in completion of department duties.Contributes to department production by maintaining expected level of productivity designated by the department.
+ Other duties As directed by Leadership, provide ongoing support of department and hospital needs as assigned.When applicable, collect patient valuables according to policy and secure them by entering into log and dropping into department safe. Follow hospital policy to release valuables.When applicable, update Patient Type, Bed Placement, Accommodation Code, Attending Physician.ED Unit Clerk (SCO only):Responsible for handling outgoing/incoming Emergency Department calls including outgoing calls for consultations and ancillary services. Calls to physicians and ancillary service areas will be documented in the EMR.Obtain medical records and facilitate transfers from/to outside facilities.Create patient chart for physician and organize charts for the HIM department. Compile workers' compensation paperwork for the ED physician.Monitor ED cafe supplies.Handle outgoing calls to other departments for ED.Input discharge disposition information obtained from EHR orders into patient admission-discharge-transfer (ADT) application.Customer Information Center duties (SCO only):Initiate ED Code calls using the overhead paging system and Code Log Book online.Answer CIC phone lines after business hours and monitor alarm panels for incoming Codes.
+ Patient registration Patient Safety:Authenticate and/or enroll patient at workstations where Patient Secure palm scanner is available. Follow established guidelines such as scripting and picture identification for enrollment and authentication.In absence of Patient Secure workstation, use at least two patient identifiers to confirm patient identity.Notify DUPREG and document potential duplicate and overlap registrations when identified.Demographic Collection:Populate all demographic screens for new and established patients. In applicable cases, follow registration guidelines for Doe and Trauma patients.Update regulatory fields in demographic data with patient choices on regulatory forms such as Notice of Privacy Practice (NPP), Advanced Directive for Health Care (ADHC), Health Information Exchange (HIE).Secure patient signature on address attestation.If service is accident related, update appropriate visit fields indicating known details.Follow defined documentation process with homeless patient (i.e. notating 'SB1152' in FirstNet and Edit Visit (EV) form comments).
+ Regulatory responsibilities Observe EMTALA regulations (Emergency Room/ER settings) by avoiding communication of financial information (such as eligibility, copays, authorization) until medical screening is completed. This includes avoiding discussion of financial issues with clinical counterparts, health insurances, or patient family/friends until after medical screening.Using scripting, review Conditions of Admission (COA). If unable to secure signature, indicate reason in Centricity visit comments. Based upon COA patient review, update appropriate Centricity fields related to status of ADHC, No Publish, Notice of Privacy Practices, and Patient Rights. More fields may be added as regulations change.In cases where Tricare or Medicare/Medicare Advantage is primary or secondary, use scripting to review and deliver appropriate regulatory form (Tricare Rights, Tricare Third Party Liability, and Important Message from Medicare (IMM) form). If signature secured, update Centricity fields in appropriate insurance follow-up field. If unable to secure signature, indicate reason in Centricity visit comments.Follow guidelines for delivery of Medicare Outpatient Observation (MOON) and Outpatient Observation Notice (OON) to all patients being admitted in an Observation status.Request and input Primary Care Provider (PCP) information and initiate Health Information Exchange (HIE) process as appropriate.In areas performing post regulatory review, address outstanding alerts in the Centricity Alerts Manager based upon your department's workflow.Document Imaging - Secure necessary Access Service related documents and scan to correct form/identifier.
**Knowledge, Skills, and Abilities**
+ Knowledge of Medical Terminology.
+ Knowledge of insurances, billing and collections guidelines/criteria.
+ Knowledge of Local, State, and Federal regulations governing registration/billing activities including Joint Commission, Title XXII, Medicare and Medi-Cal regulations.
+ Knowledge of ICD-10, CPT, and/or RVS coding.
+ Knowledge of Medicare Important Message, Medicare Secondary Payor, Tricare Third Party Liability; Auto Accident and Work Comp, Medicare/Outpatient Observation Notice.
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
Access Service Representative - Admitting - Coronado Hospital - Variable Shift - Per Diem
Service representative job at Sharp HealthCare
**Facility:** Coronado Hospital **City** Coronado **Department** **Job Status** Per Diem **Shift** Variable **FTE** 0 **Shift Start Time** **Shift End Time** H.S. Diploma or Equivalent **Hours** **:** **Shift Start Time:** Variable **Shift End Time:** Variable **AWS Hours Requirement:**
8/40 - 8 Hour Shift
**Additional Shift Information:**
**Weekend Requirements:**
Every Other
**On-Call Required:**
No
**Hourly Pay Range (Minimum - Midpoint - Maximum):**
$24.500 - $29.400 - $34.300
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.
As part of our recruitment process, you may receive communication from Dawn, our virtual recruiting assistant. Dawn helps coordinate scheduling for screening calls and interviews to ensure a smooth and timely experience. Rest assured, all candidate evaluations and hiring decisions are made by our recruitment and hiring teams.
**What You Will Do**
Coordinates all registration functions necessary to ensure the processing of a clean claim including but not limited to obtaining and processing patient demographics, visit and financial information in a manner that facilitate maximum financial reimbursement and promotes premier customer service. This role utilizes Patient Secure to identify the accurate patient medical record while adhering to EMTALA regulations and performs face-to-face interviews directly with patients and/or their designated representatives. Accurate identification and delivery of regulatory documents and securing patient financial responsibility is a key responsibility.
**Required Qualifications**
+ 2 Years experience in a business service setting.
+ Must have experience communicating effectively both verbally and in writing professionally.
**Preferred Qualifications**
+ H.S. Diploma or Equivalent
+ Experience communicating and discussing personal and financial matters with patients and/or their representatives is preferred.
**Other Qualification Requirements**
+ HFMA certifications preferred.
**Essential Functions**
+ CollectionsFollow department guidelines for providing patient with estimate letter.Request payment of co-pay, deductible, estimated out of pocket or good-faith deposit in a manner specified in department and hospital policies. If patient unable to pay requested amount, negotiate some portion.Receive and process funds, print and file receipt, and update Centricity visit comments. Secure all funds and receipts in accordance with department standard.
+ Completes insurance verification and evaluation Insurance/Plan Selection:After medical screening (ER settings), obtain health benefit coverage including possible accident related coverage. Input all insurance coverage information into Centricity Insurance Verification (IF). If patient unable to provide insurance, search for potential coverage through MCA for SRS/SCMG and MPV (or Portal) for potential Medicare or Medi-Cal.Use Coordination of Benefits (COB) standards to prioritize billing order of insurance plans.Medicare patients - Medicare Secondary Payer (MSP) questionnaire is completed.Validate insurance eligibility electronically (e.g. MPV, Experian) when applicable. Validate health benefit coverage including possible accident related coverage.Validate and identify the Primary Medical Group on Health Maintenance Organizations (HMO) patients. Notify the clinical staff, including physician, on patients that are out-of-network.Follow process to estimate patient out of pocket based upon department guidelines and collect patient financial responsibility.Communicate to patient and leadership when unusually high out of pocket, unusually limited coverage, and/or if insurance is out of network (OON) following the guidelines established for the facility.Unfunded:Initiate interview on unfunded/underfunded patients. Input financial screening results into Pointcare fields as appropriate and provide patient with potential coverage options. Complete the process by recording the outcome through X8 function.Complete HPE (Hospital Presumptive Eligibility) process when appropriate.Document in Centricity visit comments if patient declined or completed financial screening.Follow self-pay process (aka toolkit) to discuss the Sharp out of pocket expectation.
+ Customer service Use AIDET, key words at key times, On-Stage Behavior and support 5-star results on patient satisfaction.Communicates effectively both orally and in writing sufficient to perform the essential job functions. Use tact and empathy in working with customers under stressful situations and with frequent interruptions.Avoid abbreviations when communicating to patient.Adapt and protect patient privacy as needed (i.e. lowering voice, using face sheets vs. verbal interviews).Practice good interpersonal and communication skills and ability to work well with others contributing to a team environment.Practice a positive and constructive attitude at all times.Negotiates with others, handles minor complaints by settling disputes, grievances, and conflicts.Perform service recovery when The Sharp Experience does not go right in accordance to the department standards and Sharp's Behavior Standard Service Recovery.Identify solutions to issues not covered by verbal or written instructions.
+ Demonstrates initiative and teamwork Prioritize job responsibilities effectively. Keep management informed of backlogs or slow volume. Round on patients when volumes are low as identified by your department.Patients are processed timely based upon depart standards such as quality audits, time, and production measurements.Offer to assist others and asks for assistance in completing of assignments, as needed.Inform patient/families of admission delays and cause if known or allowed.Promotes a team approach in completion of department duties.Contributes to department production by maintaining expected level of productivity designated by the department.
+ Other duties As directed by Leadership, provide ongoing support of department and hospital needs as assigned.When applicable, collect patient valuables according to policy and secure them by entering into log and dropping into department safe. Follow hospital policy to release valuables.When applicable, update Patient Type, Bed Placement, Accommodation Code, Attending Physician.ED Unit Clerk (SCO only):Responsible for handling outgoing/incoming Emergency Department calls including outgoing calls for consultations and ancillary services. Calls to physicians and ancillary service areas will be documented in the EMR.Obtain medical records and facilitate transfers from/to outside facilities.Create patient chart for physician and organize charts for the HIM department. Compile workers' compensation paperwork for the ED physician.Monitor ED cafe supplies.Handle outgoing calls to other departments for ED.Input discharge disposition information obtained from EHR orders into patient admission-discharge-transfer (ADT) application.Customer Information Center duties (SCO only):Initiate ED Code calls using the overhead paging system and Code Log Book online.Answer CIC phone lines after business hours and monitor alarm panels for incoming Codes.
+ Patient registration Patient Safety:Authenticate and/or enroll patient at workstations where Patient Secure palm scanner is available. Follow established guidelines such as scripting and picture identification for enrollment and authentication.In absence of Patient Secure workstation, use at least two patient identifiers to confirm patient identity.Notify DUPREG and document potential duplicate and overlap registrations when identified.Demographic Collection:Populate all demographic screens for new and established patients. In applicable cases, follow registration guidelines for Doe and Trauma patients.Update regulatory fields in demographic data with patient choices on regulatory forms such as Notice of Privacy Practice (NPP), Advanced Directive for Health Care (ADHC), Health Information Exchange (HIE).Secure patient signature on address attestation.If service is accident related, update appropriate visit fields indicating known details.Follow defined documentation process with homeless patient (i.e. notating 'SB1152' in FirstNet and Edit Visit (EV) form comments).
+ Regulatory responsibilities Observe EMTALA regulations (Emergency Room/ER settings) by avoiding communication of financial information (such as eligibility, copays, authorization) until medical screening is completed. This includes avoiding discussion of financial issues with clinical counterparts, health insurances, or patient family/friends until after medical screening.Using scripting, review Conditions of Admission (COA). If unable to secure signature, indicate reason in Centricity visit comments. Based upon COA patient review, update appropriate Centricity fields related to status of ADHC, No Publish, Notice of Privacy Practices, and Patient Rights. More fields may be added as regulations change.In cases where Tricare or Medicare/Medicare Advantage is primary or secondary, use scripting to review and deliver appropriate regulatory form (Tricare Rights, Tricare Third Party Liability, and Important Message from Medicare (IMM) form). If signature secured, update Centricity fields in appropriate insurance follow-up field. If unable to secure signature, indicate reason in Centricity visit comments.Follow guidelines for delivery of Medicare Outpatient Observation (MOON) and Outpatient Observation Notice (OON) to all patients being admitted in an Observation status.Request and input Primary Care Provider (PCP) information and initiate Health Information Exchange (HIE) process as appropriate.In areas performing post regulatory review, address outstanding alerts in the Centricity Alerts Manager based upon your department's workflow.Document Imaging - Secure necessary Access Service related documents and scan to correct form/identifier.
**Knowledge, Skills, and Abilities**
+ Knowledge of Medical Terminology.
+ Knowledge of insurances, billing and collections guidelines/criteria.
+ Knowledge of Local, State, and Federal regulations governing registration/billing activities including Joint Commission, Title XXII, Medicare and Medi-Cal regulations.
+ Knowledge of ICD-10, CPT, and/or RVS coding.
+ Knowledge of Medicare Important Message, Medicare Secondary Payor, Tricare Third Party Liability; Auto Accident and Work Comp, Medicare/Outpatient Observation Notice.
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
Customer Information Representative - Customer Info Center - Grossmont Hospital - Variable Shift - Per Diem
Service representative job at Sharp HealthCare
**Facility:** Grossmont Hospital **City** La Mesa **Department** **Job Status** Per Diem **Shift** Variable **FTE** 0 **Shift Start Time** **Shift End Time** H.S. Diploma or Equivalent **Hours** **:** **Shift Start Time:** Variable **Shift End Time:** Variable **AWS Hours Requirement:**
8/40 - 8 Hour Shift
**Additional Shift Information:**
**Weekend Requirements:**
As Needed
**On-Call Required:**
No
**Hourly Pay Range (Minimum - Midpoint - Maximum):**
$27.500 - $30.400 - $33.530
This position is covered by a Collective Bargaining Agreement (CBA) with SEIU-UHW. As part of the terms of employment, employees in this role are required to join the union within 31 days of hire and remain a member (e.g. dues paying, fee paying, religious exception contributor) for the duration of the collective bargaining agreement.
As part of our recruitment process, you may receive communication from Dawn, our virtual recruiting assistant. Dawn helps coordinate scheduling for screening calls and interviews to ensure a smooth and timely experience. Rest assured, all candidate evaluations and hiring decisions are made by our recruitment and hiring teams.
This position was originally posted to ratified SEIU members from 11/04/25 - 11/12/25. The position is now available to be filled by internal candidates that are not members of the ratified Bargaining Unit or External candidates to Sharp.
**What You Will Do**
Manages general information and patient inquiry from the community and Sharp HealthCare staff on a 24-hour (if applicable), year round basis, utilizing knowledge of Sharp HealthCare services to assist callers and visitors in providing first person resolution whenever possible.
**Required Qualifications**
+ 2 Years Experience in high-contact customer service position, preferably in a call center environment or concierge setting.
+ Experience in dealing with multiple demands simultaneously and under pressure.
**Preferred Qualifications**
+ H.S. Diploma or Equivalent
**Essential Functions**
+ Completes calls using key behaviors of the Sharp Experience:Uses standard Sharp Experience opening script for all calls.Takes customers where they are going, using the warm hand-off transfer feature and announce the call along with the nature of the call, whenever possible.Answers all calls within department guidelines.Uses two out of three Sharp Experience scripted endings.Uses a voice tone that reflects a "smile in your voice" and an "attitude of gratitude".Reads departmental email communication on days worked to become familiar with updates, changes and new procedures.Consistently uses Closed Loop Communication on all code calls.
+ Customer service and department protocol Adheres to departmental standards and internal guidelines for documentation, productivity, and compliance demonstrated through these criteria:Thinks and acts independently with good judgment.Documents all code calls correctly in the Electronic Code Book; any blanks must be completed by the end of the work day.Displays sensitivity to callers who may be agitated, upset or displaying behavioral issues; route calls as appropriate.Accesses patient information through GE Centricity/IDX, respecting confidentiality and adheres to the protocol and guidelines of No-Publish policy.
+ Department competency Demonstrates competency with standard departmental procedures including:Accurate and timely documentation of API.Utilizes appropriate ACD models such as Work, Break types.Updates daily on-call schedules and physician lists.Familiar with Need to Know communication reflecting changes in procedures, department practices, new hires, etc.Conduct monthly test of TTY phone and loan out to departments when requested.Facilitates pager setup, replacement and distribution to hospital staff as needed.Issue interpreter phones to hospital departments upon request; conduct quarterly department rounds to ensure interpreters phones are working.Respond and manage emergency code calls as a priority per established protocols; utilize elevator voices when paging overhead.Participates as needed in the hospital-wide Emergency Preparedness plans, safety polices and hazardous materials procedures; maintain and issue disaster phones, when needed.Oversee emergency panels, including fire panels and elevators panels and make the proper notifications.Demonstrates the flexibility to adapt to 24-hour, 365-day department staffing requirements (if applicable). Accepts department schedule changes as business operations necessitate.
+ TeamworkDemonstrates teamwork in departmental and inter-departmental teamwork:Takes equal share of incoming calls according to ACD Agent Distribution Reports.Identifies potential problem areas and brings it to the attention of the department leadership. When appropriate, demonstrates initiative and creativity by offering operational suggestions to department leadership.Utilizes "Onstage/Offstage Behavior" and Sharp Behavior Standards to facilitate teamwork efforts. Participates in Employee Forums, Peer Interviews, and Sharp All Staff Assemblies.Provides assistance, support and/or peer coaching to team members in building their skills and ability to meet call expectations.Demonstrates positive initiative and motivation, creating a team spirit and pride in the department.Provide backup after-hour call support for pre-approved departments when needed.Provide support for special projects identified by department supervisor.
**Knowledge, Skills, and Abilities**
+ Has the ability to think and act independently and demonstrate excellent customer service judgment and problem-solving skills.
+ Has the ability to work in a team environment.
+ Have the capability to communicate well verbally, using appropriate grammar and professional conversational skills.
+ Has the ability to relate quickly and confidentially to callers.
+ Working knowledge of Microsoft software products and typing skills required for data entry, patient lookup, and documentation.
+ Familiarity with GE Centricity/IDX patient look up programs preferred.
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
Patient Service Representative - Breast Care Center - Chula Vista
Chula Vista, CA jobs
Required Qualifications\:
Must be able to demonstrate proficiency of computer applications, excellent mathematical skills and ability to handle monies.
Excellent communication and customer service skills.
Strong organizational and analytical skills; innovative with ability to identify and solve problems.
Preferred Qualifications:
1 year of experience in customer service or a healthcare/medical office environment preferred.
Able to adapt, prioritize and meet deadlines.
Knowledge of medical terminology, commercial and government health insurance and billing guidelines, ACA requirements, understanding of DRG's, Medical ICD9/ICD10 codes and CPT/HCPC Codes and Modifiers.
This is a Part-Time position (40 hours per pay period) with varied days and start times (will include some weekends and holidays) located at our Scripps Mercy Hospital Chula Vista. You will enjoy comprehensive benefits that cover health & wellness, career development, and retirement options among other benefits.
Why join Scripps Health?
At Scripps Health, your ambition is empowered and your abilities are appreciated:
Nearly a quarter of our employees have been with Scripps Health for over 10 years.
Scripps is a Great Place to Work Certified company for 2025.
Scripps Health has been consistently ranked as a top employer for women, millennials, diversity, and as an overall workplace by various national publications.
Becker's Healthcare ranked Scripps Health on its 2024 list of 150 top places to work in health care.
We have transitional and professional development programs to create a learning environment that enables you to thrive in your specific field as well as in your overall career.
Our specialties have been nationally recognized for quality in areas such as cardiovascular care, oncology, orthopedics, geriatrics, obstetrics and gynecology, and gastroenterology.
Join a caring team supporting Scripps Mercy Hospital Chula Vista as a Patient Service Representative in the Radiology department. You'll be on the front line for creating a positive Scripps Health experience for our patients while being responsible for duties such as the following:
Interacting with patients and providers to gather information for accurate registration. Assigning of Medical Record Number, appointment scheduling, point of service payment collection, document collection and check-out functions.
Responding to customer billing and payment inquires.
Effectively managing the check in or check out process, which includes identification verification; confirming demographic and insurance information; ensuring appropriate forms are provided, signed, and witnessed at the time of the patient visit and accurately preparing end of day reporting or payment reconciliation.
Scheduling and confirming appointments in person or over the phone and entering appropriate insurance.
Initiating and validating referrals/authorizations.
Having a proactive approach to customer service by listening to the patient, taking ownership of solutions and being able to identify the need to involve leadership to resolve concerns.
Auto-ApplyClinic Business Representative
Apple Valley, CA jobs
14655 Galaxie Ave Main Door Apple Valley, MN 55124-8597 Department: 62199900 Allina Health Group Apple Valley Shift: Day (United States of America) Shift Length: 8 hour shift Hours Per Week: 40 Union Contract: Non-Union-NCT Weekend Rotation:
None
Job Summary:
Allina Health is a not-for-profit health system that cares for individuals, families and communities throughout Minnesota and western Wisconsin. If you value putting patients first, consider a career at Allina Health. Our mission is to provide exceptional care as we prevent illness, restore health and provide comfort to all who entrust us with their care. This includes you and your loved ones. We are committed to providing whole person care, investing in your well-being, and enriching your career.
Key Position Details:
* 1.0 FTE (80 hours per two week pay period)
* 8-hour day shifts, typically 9:45am-6:15pm
* No weekends
* This position will be working in our High Tech Imaging department
:
Responsible for greeting and welcoming patients to Allina at in person appointments, or by providing support by phone. Provides a standard registration process by collecting demographic and financial data and enters information into electronic medical record. Navigates patient electronic record system to review and respond to scheduling and records needs.
Principle Responsibilities
* Greets, welcomes, and performs the registration process with patients in person or by phone:
* Appropriately utilizes all tools, resources, and procedures to conduct patient check-in, which includes interviewing patients to collect demographic and insurance information, providing patients with appointment specific forms, and obtaining necessary and appropriate documentation.
* Assists patients with telephone encounters.
* Identifies key words to initiate appropriate responses and de-escalation techniques as needed.
* Directs patients to appointment or procedure.
* Collects co-pays and/or remaining balances:
* Obtains signatures from patients as needed.
* Responds to questions regarding financial assistance programs.
* Performs the End of Day reconciliation process.
* May participate in the prescription refill order process as appropriate and in scope for position.
* Performs Epic and In-Basket Responsibilities:
* Uses resources, tools, and procedures to review, respond, follow-up and complete in-basket work.
* Reviews MyChart appointments for accuracy and appropriate follow-up.
* Works the reschedule report to ensure all appointments are rescheduled appropriately.
* Processes No Show letters as applicable.
* Medical records support:
* Retrieves clinic scanning/forms, sorts and distributes faxes via RightFax.
* Medical record scanning and error resolution.
* Opens, sorts and distributes clinic mail, processes returned mail.
* Manages patient requested documents for pick-up.
* Coordinates Release of Information requests.
* Scans STAT EKG's as needed.
* Manages and organizes patient care lobby (or lobbies) and provides other department support:
* Cleans and disinfects the lobby and check-in area(s), wheelchairs, stair wells, door handles, clipboards, and elevator keys throughout the day.
* Unpacks and restocks supplies, file cabinet(s) and other clinic resources such as brochures and business cards, makes copies of documents as needed.
* May schedule appointments and/or help with other office communication needs such as answering and transferring calls, handling messages and paging necessary parties.
* Performs weekly downtime check.
* Active participation in staff meetings.
* Other duties as assigned.
Required Qualifications
* Must be 18 years of age with education and/or experience needed to meet required functional competencies as listed on the job description
* 2 to 5 years of computer knowledge including working with an electronic medical record and Microsoft Office products (Word and Outlook)
* 2 to 5 years of customer service, clerical, or business environment experience in healthcare
Preferred Qualifications
* High school diploma or GED
* Associate's or Vocational degree
* 1 year of medical terminology knowledge
Physical Demands
* Sedentary:
* Lifting weight up to 10 lbs. occasionally, negligible weight frequently
Pay Range
Pay Range: $20.32 to $27.68 per hour
The pay described reflects the base hiring pay range. Your starting rate would depend on a variety of factors including, but not limited to, your experience, education, and the union agreement (if applicable). Shift, weekend and/or other differentials may be available to increase your pay rate for certain shifts or work.
Benefit Summary
Allina Health believes the best way to provide safe and compassionate care for our patients is by nurturing the passion of those who care for them. That's why we devote extraordinary resources to help you grow and thrive - not only as a professional but also as a whole person. When you join our team, you have access to a wealth of valuable employee benefits that support the total well-being - mind, body, spirit and community - of you and your family members.
Allina Health is all in on your well-being. Because well-being means something different to everyone, our award-winning program provides you with the resources you need to help you navigate your personal journey. This includes up to $100 in well-being dollars, dedicated well-being navigators, and many programs, activities, articles, videos, personal coaching and tools to support you on your journey.
In addition, Allina Health offers employee resources groups (ERGs) -- voluntary, employee-led groups that serve as a resource for members and organizations by fostering a diverse, inclusive workplace aligned with the organization's mission, values, goals, business practices, and objectives. Allina Health also engages employees in various community involvement and volunteering events.
Benefits include:
* Medical/Dental
* PTO/Time Away
* Retirement Savings Plans
* Life Insurance
* Short-term/Long-term Disability
* Paid Caregiver Leave
* Voluntary Benefits (vision, legal, critical illness)
* Tuition Reimbursement or Continuing Medical Education as applicable
* Student Loan Support Benefits to navigate the Federal Public Service Loan Forgiveness Program
* Allina Health is a 501(c)(3) eligible employer
* Benefit eligibility/offerings are determined by FTE and if you are represented by a union.
Auto-ApplyPatient Service Representative - Cardiovascular Surgery - La Jolla
San Diego, CA jobs
This is a Full-Time position (80 hours per pay period) with a Monday - Friday, 8AM - 5PM, schedule located at our Scripps Anderson Medical Pavilion in La Jolla. You will enjoy comprehensive benefits that cover health & wellness, career development, and retirement options among other benefits.
Why join Scripps Health?
At Scripps Health, your ambition is empowered and your abilities are appreciated:
Nearly a quarter of our employees have been with Scripps Health for over 10 years.
Scripps is a Great Place to Work Certified company for 2025.
Scripps Health has been consistently ranked as a top employer for women, millennials, diversity, and as an overall workplace by various national publications.
Becker's Healthcare ranked Scripps Health on its 2024 list of 150 top places to work in health care.
We have transitional and professional development programs to create a learning environment that enables you to thrive in your specific field as well as in your overall career.
Our specialties have been nationally recognized for quality in areas such as cardiovascular care, oncology, orthopedics, geriatrics, obstetrics and gynecology, and gastroenterology.
Join a caring team supporting Scripps Anderson Medical Pavilion in La Jolla as a Patient Service Representative in the Cardiovascular Surgery department. You'll be on the front line for creating a positive Scripps Health experience for our patients while being responsible for duties such as the following:
Interacting with patients and providers to gather information for accurate registration. Assigning of Medical Record Number, appointment scheduling, point of service payment collection, document collection and check-out functions.
Responding to customer billing and payment inquires.
Effectively managing the check in or check out process, which includes identification verification; confirming demographic and insurance information; ensuring appropriate forms are provided, signed, and witnessed at the time of the patient visit and accurately preparing end of day reporting or payment reconciliation.
Scheduling and confirming appointments in person or over the phone and entering appropriate insurance.
Initiating and validating referrals/authorizations.
Having a proactive approach to customer service by listening to the patient, taking ownership of solutions and being able to identify the need to involve leadership to resolve concerns.
Required Qualifications\:
Must be able to demonstrate proficiency of computer applications, excellent mathematical skills and ability to handle monies.
Excellent communication and customer service skills.
Strong organizational and analytical skills; innovative with ability to identify and solve problems.
Preferred Qualifications:
1 year of experience in customer service or a healthcare/medical office environment preferred.
Able to adapt, prioritize and meet deadlines.
Knowledge of medical terminology, commercial and government health insurance and billing guidelines, ACA requirements, understanding of DRG's, Medical ICD9/ICD10 codes and CPT/HCPC Codes and Modifiers.
Auto-ApplyPatient Service Representative - SSRS - Systemwide Float Pool
San Diego, CA jobs
This is a pipeline req for all PSR - SSRS positions within Scripps Health. Seeking Full Time staff with Varied shifts between 7AM - 7PM, including weekends and holidays as needed. Flexibility is required with schedule and willingness to float to other sites. An hourly shift differential is provided to all SSRS employees.
Our Scripps System-wide Resource Services (SSRS) department supports the entire Scripps Health system. As a member of the float team, you can fill vital roles on assignments throughout the system to provide critical coverage for employee's leave of absences, sick calls, and peak service demands while gaining experience in a variety of environments.
Why join Scripps Health?
At Scripps Health, your ambition is empowered and your abilities are appreciated:
Nearly a quarter of our employees have been with Scripps Health for over 10 years.
Scripps is a Great Place to Work Certified company for 2025.
Scripps Health has been consistently ranked as a top employer for women, millennials, diversity, and as an overall workplace by various national publications.
Becker's Healthcare ranked Scripps Health on its 2024 list of 150 top places to work in health care.
We have transitional and professional development programs to create a learning environment that enables you to thrive in your specific field as well as in your overall career.
Our specialties have been nationally recognized for quality in areas such as cardiovascular care, oncology, orthopedics, geriatrics, obstetrics and gynecology, and gastroenterology.
Join our Scripps SSRS team as a Patient Service Representative where you will provide direct patient care within the scope of your practice. This includes the following\: Responsible for interacting with patients, payers and providers to gather information necessary for accurate registration including assigning of appropriate Medical Record Number, scheduling, referral/authorization, point of service payment collection, document collection and arrival/check-in functions. Responds to customer billing and payment inquires as needed. Effectively manages the patient check-in and check-out process from start to finish, which includes identification verification; updating or confirming demographic and insurance information on every patient; ensuring appropriate forms are provided, signed and witnessed at the time of the patient visit; collecting patient payment responsibility and accurately preparing end of day reporting or payment reconciliation as needed. Escalating billing inquiries as needed. Accurately scheduling patient appointments. Successful scheduling includes, but not limited to, exhibiting proficiency in appointment scheduling procedures, accurate documentation and routing of messages, scheduling and confirming appointments according to practice guidelines, entering appropriate insurance, performing Key User duties with minimal errors. May be responsible for initiating and validating referrals/authorizations. Regularly displays a proactive approach to customer service by listening to the patient, taking ownership of solutions and is able to accurately identify the need to involve leadership in order to resolve concerns.
The types of opportunities we offer are as follows:
SYSTEM WIDE FLOAT TEAM - Permanent Scripps employees who support long-term assignments, typically 12 weeks in duration.
Required Qualifications:
One (1) or more years' experience customer service or healthcare/medical office environment experience.
Must be able to demonstrate proficiency of computer applications, excellent mathematical skills and ability to handle monies.
Excellent communication and customer service skills.
Strong organizational and analytical skills; innovative with ability to identify and solve problems.
Preferred Qualifications\:
Two (2) or more years' experience customer service or healthcare/medical office environment experience.
Able to adapt, prioritize and meet deadlines.
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Garden Grove, CA jobs
Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Garden Grove Hospital Medical Center, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.
Founded in 1982, Garden Grove Hospital Medical Center is a 167-bed community hospital centrally located in beautiful Southern California dedicated to providing our community with high-quality, compassionate healthcare. Garden Grove Hospital Medical Center has received “Top 100 Hospital” in the nation accolades from Truven Health Analytics and is a recipient of the Patient Safety Excellence Award from Healthgrades. Key services include general medical/surgical inpatient care and treatment, critical care, emergency services, orthopedics, maternity care, and wound care.
The facility offers a full spectrum of acute care services for the residents of Garden Grove and the surrounding communities. Located near the corner of Harbor and Garden Grove Boulevards, Garden Grove Hospital is close to the Disneyland Resort, the Anaheim Convention Center, and the many hotels situated in the area. For more information, visit gardengrovehospital.com. For more information, visit ****************************
Responsibilities
Answers inquiry calls from all persons with regard to information about hospital services and programs. Facilitates the admissions, also verifies insurance information and performs all registration duties.
Qualifications
EDUCATION, EXPERIENCE, TRAINING
Associate's Degree in Human Services field preferred
Current BCLS certificate upon hire and maintain current.
Two (2) years' experience working with psychiatric population preferred
Pay Transparency
Garden Grove Hospital Medical Center offers competitive compensation and a reasonable compensation estimate for this role is $21.00. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.
Employment Status Per Diem Shift Variable Equal Employment Opportunity
Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: ********************************************************************************************
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