Facility: SRS Murphy Canyon
City San Diego
Department
Job Status
Regular
Shift
Day
FTE
0.8
Shift Start Time
Shift End Time
H.S. Diploma or Equivalent; Other
Hours
Shift Start Time:
8:30 AM
Shift End Time:
5 PM
Additional Shift Information:
Weekend Requirements:
No Weekends
On-Call Required:
No
Hourly Pay Range (Minimum - Midpoint - Maximum):
$20.250 - $24.050 - $28.860
The stated pay scale reflects the range that Sharp reasonably expects to pay for this position. The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant’s years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices.
What You Will Do
Represents Sharp Rees-Stealy by providing patients with appointments, information and other operational support services for assigned department. Provides a high level of customer service in a manner consistent with our Mission and Goals. Responsible for patient registration, demographic and insurance updates. Confirms insurance eligibility and discusses service fees and copays with patients. Works with patients to resolve billing and insurance related issues. Registers patients in Care Management EHR in order to process Touchwork referral.
Required Qualifications
H.S. Diploma or EquivalentPreferred Qualifications
Other : Completion of a medical receptionist or equivalent training program.
1 Year Customer service, preferably healthcare experience.
2 Years Experience in Business Services. EHR, billing, inventory management and scheduling system experience. Knowledge of Quickbooks accounting software.
Essential Functions
Collaboration and teamworkDemonstrates a commitment to serving other employees above self through teamwork collaboration, developing others and supporting SHC values. Promotes constructive working relationships. Works effectively and as a part of a team to meet departmental goals and objectives. Is respectful and trustful of others. Decisions are guided by the organizational values and are made with honesty and respect.Effective, clear communication to promote excellent department operations and efficient patient care. Stays informed through staff meetings and shares pertinent information with others.Assists co-workers with their tasks.Demonstrates flexibility to meet clinic needs.Assists in the daily department maintenance and general departmental flow.Promotes a positive work environment by accepting interpersonal differences and respecting others' values and opinions. Demonstrates appreciation for the work of others by offering praise and noting a job well done to others.Prioritize job responsibilities effectively and informs leadership of backlog or slow volumes. Maintain the expected department productivity level as designated by the department.Contributes to team huddles and meetings suggesting ideas and solutions as appropriate.
Patient Insurance and EligibilityCompletes verification using online platforms (i.e. Onesource and insurance portals) as necessary.Discuss with patient, eligibility for program participation and associated fees based on insurance type (ie PPO, HMO). Communicate eligibility concerns to patients and provide solutions as appropriate. Monitor changes in patient insurance coverage and medical group association to assure participation eligibility. Financial Status Classification (FSC) added to system accurately following department guidelines.Verifies invoices and notify supervisor of necessary adjustments following department guidelines.
Financial CollectionRequest payment of co-pay, service fees, and meal replacement purchases. Collect self-pay procedures and non-covered services following department guidelines.Provides patients with financial counseling and negotiates in a positive manner to collect open balances following department guidelines.Receive and post funds/credit card payments to correct invoices.Complete daily reconciliation balancing of payments of credit card payment following department guidelines.
Customer ServiceUse AIDET, key words at key times, on-stage behavior to contribute above 90th percentile on patient satisfaction.Displays empathy with patients under stressful situations and with frequent interruptions.Avoids jargon when communicating with patients.Adapt and protect patient privacy as needed (i.e. lowering voice, using face sheets vs verbal interviews depending on workstation setting).Practice good interpersonal and communication skills and ability to work well with others contributing to a team environment.Always practice a positive and constructive attitude.Is helpful and knowledgeable and thanks the caller at the end of the call.Takes complete messages that are formatted neatly, concisely, spelled correctly and written using correct medical terminology.Announces call to connecting party when transferring a call.Returns phone messages according to established guidelines based on message documentation. Refers telephone calls appropriately.
Patient Registration and Referral ProcessingTransfer health education referrals from Touchworks into Essette. Register patients into Essette as necessary. Populate all demographic screens for new patients. Follow demographic established guidelines.Make outbound calls to all referrals and document outreach in Essette. Send follow-up correspondence if no response to call. Register patient in class and update status in Essette. Reschedule patients as necessary.Make reminder calls to patients for upcoming classes and appointments. Register patients and all paying customers into Quickbooks. Obtain 82SHARP rosters and register patients IDX as needed.
Department operationsProvides accurate information to all customers including patients, physicians, co-workers and visitors and maintains a variety of office support activities.Prepares and monitors daily/weekly schedules, labels and reports accurately per department guidelines and within established timeframes.Offers information and education to patients on customer services such as van shuttle, nurse connection and educational classes and assists patient with necessary forms and directions.Maintains supply levels, patient brochures and exam preparations for work area. Notifies supervisor of key user of any repairs or maintenance needed in the environment.Knowledgeable on procedure for activating appropriate emergency support systems (i.e., code blue, red, etc.) and monitors patient waiting area alerting physician or nurse of any potential medical occurrences.Prepares daily deposit. Knowledgeable on patient account and billing information.
Financial responsibilitiesAccepts accountability for the organization's financial success while delivering the highest quality of care and service. Demonstrates flexibility in work practices.Supports organizational cost containment (i.e., following work comp and PPO authorization guidelines). Takes initiative in using time effectively.Actively sets priorities and adjusts to unscheduled situations. Accepts responsibility for own actions and outcomes.Initiates communication with others to ensure job is completed successfully. Department goals (i.e., department productivity, patient visits and FTE's). Follows established cash receipt policy and procedures for collection of payments.Prepares daily deposit with minimal reminder to complete in an accurate and thorough manner.Knowledgeable on patient account and billing information. Performs mini-registration procedures and verifies insurance eligibility.
SchedulingSchedules appointments following appropriate provider guidelines, based on composite of the following and measured by supervisory review of relevant reports.Schedules appointments with the correct visit type, provides patients with accurate appointment information, verifies collector code and updates patient information and appointment site location.Confirms future appointments with patient according to guidelines.Other scheduling (e.g. IDX and PPO insurance authorization) as identified by site. Using a keyboard, type proficiently and accurately.Type a minimum of 30 words per minute with 0-2 errors. Proof work.
Other dutiesProvide department support and clinic needs as assigned and directed by leadership.Provide training and mentoring to new team members as directed by LeadershipPrescreens eligibility, patient benefits and authorizations for specific patient population.Process charge corrections, account adjustments, and statement reviews proficiently.Create and submit accurate purchase orders. Maintain sufficient meal replacement inventory.Take inventory per department guideline and reconcile inventory discrepancies. Process meal replacement online store orders accurately. Track individual patient meal replacement order to ensure program compliance.
Knowledge, Skills, and Abilities
Knowledge of Medical Terminology required.
Strong computer skills and knowledge of Microsoft Office.
Knowledge of Quickbooks preferred.
General knowledge of medical office procedures.
Effective interpersonal and customer relation skills.
Strong professional level of written and oral communication skills.
Sales transaction and revenue collection experience.
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