Hours:

Shift Start Time:

8 AM

Shift End Time:

4:30 PM

AWS Hours Requirement:

Additional Shift Information:

Weekend Requirements:

No Weekends

On-Call Required:

No

Hourly Pay Range (Minimum - Midpoint - Maximum):

$27.986 - $34.983 - $41.979

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.

This is a full-time position located onsite at Sharp Vista Hospital.

What You Will Do
To provide day-to-day operational oversight and staff leadership in all aspects of the Self Pay Revenue Cycle including Financial Counseling efforts and Public Resource Referrals while in production. Assumes responsibility for premier service delivery to all customers and the timely release of a zero-defect billing product.

Preferred Qualifications

• Bachelor's Degree
• 4 Years experience in a health care system revenue cycle.
• Previous social work or case management experience.
• Certified Revenue Cycle Representative (CRCR) - HFMA -PREFERRED
• California Notary Public - California Secretary of State -PREFERRED

Other Qualification Requirements

• Covered California Certified Enrollment Counselor Certification preferred.

Essential Functions

• Collaboration and communication
  Ensures continuity of care by building relationships with Sharp affiliated and community physicians.
  Maintains open communication and feedback to maximize the use of health care resources to members of the community.
  Provides timely communication to the assigned social worker/case manager regarding the status of application.
  Demonstrates willingness to assist co-workers and/or to accept additional assignments as requested to support the department's efficiency as observed by the supervisor.
  Promotes and contributes positively to inter-departmental issue resolution.
  Performs bedside visits and present's patient with their liability information.
  Provides patient tools and resources for prompt payment.
• Database and record management
  Utilizes electronic databases to identify a patient's projected out of pocket responsibility.
  Completes required documentation in GE/Centricity HPA application.
  Updates demographic & insurance documentation.
  Reviews supporting documentation provided by patients for accuracy.
  Ensure information submitted to databases is accurate and processed timely.
  Files and prints all agreements according to department guidelines in adherence with HIPPA.
• Demonstrates flexibility and adaptability
  Reports to workstation ready to work, from scheduled start time through end of shift, except for designated breaks.
  Accepts new assignments, changing workloads, schedule changes, and/or deviations from standard work days with a positive attitude, assisting with the smooth transition and/or implementation of new and existing procedures.
• Leadership
  Performs all functions of their direct reports: Financial Counselors and Public Resource Specialists in a manner that demonstrates exceptional understanding and proficiency.
  In conjunction with the department manager, assures complete and accurate workflows by completing quality assurance worksheets which help identify areas for improvement and positive reinforcement.
  Performs the leadership functions required to maintain departmental coverage and operations within established policies and guidelines.
  Performs the orientation and technical training of new employees or employees new to a position/area (checklists are completed).
  Continuing education is provided by developing and delivering two staff in-services per year.
  Provides support to staff on a daily basis by assisting staff when questions arise and addressing staff concerns as they occur.
• Patient assistance application processing
  Provides direction and assistance to patients requesting financial assistance.
  Demonstrates content expertise by completing applications & supporting documents for programs including but not limited to: MediCal, Medicaid, CMS, CMSP, SSI-Disability, Victim of Crimes Compensations, COBRA, and Health Care Exchange Qualified Plan Enrollment.
  Identifies all unfunded admissions and completes face to face interview and application within 24 hours of admission.
  Manages patient's expectations for assistance through effective communication and interaction.
• Patient services
  Determine the patient's financial liabilities.
  Works collaboratively with PAS Payor Focus Department to determine insurance benefits.
  Identify patient responsibilities and apply the Financial Toolkit to resolve a patient's out of pocket expense.
  Demonstrated knowledge of Sharp contracts to include but not limited to PPO, HMO, and State Health Insurance Exchange qualified health plans.
• Problem resolution
  Applies Planetree Principles and delivers options with compassion.
  Presents the patient with the best option for their situation.
  Works with the manager to determine other payment/discount options on a case-by-case basis.
  Uses effective interviewing skills to elicit patient application for funding information.
• Professional development
  Demonstrates safe work practices, uses proper body mechanics when lifting, reaching, pushing or moving objects.
  Identifies, corrects and/or reports unsafe work conditions immediately.
  Follows Hospital protocol in the event of a work-related injury to self or staff member. Is familiar with Department fire and disaster protocol. Attends Hospital safety fair.
  Maintains current knowledge and application of all Hospital legal requirements as they pertain to the Admitting Department, insurance guidelines and regulations, and Department policy changes.
  Incorporates Sharp Mission, Values, and Philosophy in daily work practices. Insurance manuals are kept current.
  Accepts coaching and counseling in a positive, productive manner. Identifies own need for skills training and practice opportunities.
  Accepts interpersonal differences and cooperates with other employees.
  Accepts responsibility for own actions, personal growth, and development.
• Staffing productivity
  Serves as an exemplary customer service role model by demonstrating a positive, caring attitude to all patients, guests, fellow Sharp HealthCare employees, external contacts, and physicians while promoting teamwork in the accomplishment of Department and Hospital goals.
  Develops staff in customer relations by increasing employee awareness when areas for improvement are observed. Identifies and recommends methods that would improve existing service and opportunities for service recovery.

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

Certified Revenue Cycle Representative (CRCR) - HFMA; California Notary Public - California Secretary of State; Bachelor's Degree