Business Service Representative - SRS Business Services Centralized - Day Shift - PRN
Company: SHARP HEALTHCARE
Location: Los Angeles
Posted on: April 24, 2024
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Job Description:
Hours:Shift Start Time:VariableShift End Time:VariableAWS Hours
Requirement:Additional Shift Information:Weekend Requirements:As
NeededOn-Call Required:NoHourly Pay Range (Minimum - Midpoint -
Maximum):$23.100 - $28.514 - $34.217 -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
The Business Service Representative 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
facilitates maximum financial reimbursement and promotes
outstanding customer service. The Business Service Representative
ensures that each billing inquiry has outcome resolution in a
timely manner and appropriate parties are informed.
Required Qualifications
Preferred Qualifications
Essential Functions
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 at workstation, use at
least two patient identifiers to confirm patient identity. Notify
MPI-DUPREG, document potential duplicate, and overlap registration
when identified.
Populate all demographic screens for new and established patients.
Follow demographic establish guidelines.
Complete regulatory required fields in demographic data with
patient choices on regulatory forms such as Notice of Privacy
Practice (NPP) and Advance Directives (ADHC).
Secure patient signature on Condition of Registration (COR) and
update date field in registration screen.
Request and input Primary Care Provider (PCP) in demographic
field.
Provide New Patients with required information to Sharp Rees-Stealy
(SRS) and resources to services.
Registrations are 90% completed prior to services rendered.
Promote Sharp Rees-Stealy self-service technology.
Completes verification using online platforms (i.e. MPV Experian
and insurance portals) as appropriate and/or utilizes telephone
system to complete.
Financial Status Classification (FSC) added to system accurately
following department guidelines.
Communicate eligibility concerns to patients and provide solutions
as appropriate.
Utilizes ARR system and other on-line request systems to update
insurance dictionaries.
Verifies invoices and makes necessary adjustments following
department guidelines.
Ensure documentation is clear and precise with patient
communication or other concerns.
Obtains authorization as needed for clinics or special
procedures.
Monitors authorizations for insurance changes and resubmits
authorization as needed.
Communicates benefits for procedures and medical necessity
requirements to clinical teams and/or physicians.
Assist with retro-authorizations on services rendered as
needed.
Reviews and obtains vision authorization for billing and follows
department guidelines.
Insurance authorization number is recorded accurately in the
appointment visit data form (VDF).
Utilizes insurance authorization online portals as needed.
Provide estimates using price estimator.
Request payment of co-pay, deductible, estimated out-of-pocket or
good faith deposit as specified in department guidelines.
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 cash drawer
following department guidelines.
Use 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.
Practice a positive and constructive attitude at all times.
Perform service recovery when The Sharp Experience does not go
right in accordance to Sharp's Behavior Standard Service
Recovery.
Ability to problem-solve, work independently and ability to
escalate patient accounts.
Communicates effectively both orally and in writing sufficient to
perform essential job functions.
Prioritize job responsibilities effectively and informs leadership
of backlog or slow volumes. Assists other areas when productivity
volumes are low as identified by your department.
Promotes a team approach in completion of department duties.
Maintain the expected department productivity level as designated
by the department.
Contributes to team huddles and meetings suggesting ideas and
solutions as appropriate.
Provide department support and clinic needs as assigned and
directed by leadership.
Provide training and mentoring to new team members as directed by
Leadership.
Reviews and completes registration transaction editing (TES) system
utilizing ETM Management reports online. Reports over 30-day
registration TES edits to Leadership if unable to complete.
Prescreens eligibility, patient benefits and authorizations for
specific patient population.
Reviews daily physician schedules to identify patients with
financial concerns.
Print and monitor new patient site reports for completion.
Initiates and completes Business Communication Forms (BCF) forms
following department guidelines.
Process charge corrections, account adjustments, and statement
reviews proficiently.
Maintains up-to-date knowledge on new insurance plans and other
information provided by Revenue Business Management (RBS). Utilizes
RBS site for resources.
Review self-service Kiosk administration tool for insurance
updates.
Knowledge, Skills, and Abilities
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
H.S. Diploma or Equivalent
Keywords: SHARP HEALTHCARE, Compton , Business Service Representative - SRS Business Services Centralized - Day Shift - PRN, Other , Los Angeles, California
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