Sharp HealthCare · 11 hours ago
Access Service Representative-Patient Placement - Centralized PAS Support - Corporate Office - Variable Shift - Per Diem
San Diego, CA
Full-time
Onsite
Mid, Senior Level
$25.55/hr - $35.68/hr
5+ years expSharp HealthCare is a prominent healthcare organization, and they are seeking an Access Service Representative for their Centralized Patient Placement team. The role involves obtaining and verifying patient information, coordinating patient placements, and ensuring compliance with billing guidelines while delivering exceptional customer service.
Health CareNon Profit
Responsibilities
Obtains and verifies patient demographic, visit, and financial information in a manner that facilitates departmental efficiencies, maximum financial reimbursement, and promotes premier customer service
This position will place patients via computer to assigned medical, surgical, cardiac, and critical care beds according to the Bed Protocol
Bed assignment will be communicated to the receiving and transferring floors/departments via computer system and telephone system
In an effort to provide complete customer satisfaction, this position should accurately listen and respond appropriately to requests from physicians, inter-departments, and peers
To ensure patients are assigned rooms in an expedient manner, this position will utilize all critical resources within the organization to expedite this process
This position must ensure all paperwork and computer entry is checked for accuracy and will continually enhance their knowledge regarding processes
This position should give high priority to customer service and complete customer satisfaction
This position will coordinate the successful transfer and placement of patients within the organization
This position must be able to adjust through a rapidly changing environment
This position will participate in personal and professional growth, development, and continuous improvement in all critical success factors of people, service, quality, financial, and growth
This position will be required to work weekends, and holidays
Completes all functions required to process billing of all hospital visits by producing a prompt, clean bill drop 4-7 days post patient discharge
All billings comply with Federal, State and local billing guidelines and criteria without exception
Participate in the achievement of team billing goals through timely release of billable accounts and release of series bills
Completes accurate demographic data, including validation or insurance benefits for each admission
Completes accurate visit data including updating accurate attending physician, diagnosis and patient location
Validates accurate orders in Cerner to ensure appropriate patient type and accommodation codes are selected
Complete and accurate insurance selection to include the competition of follow-up questions, notifications are made to payors within 24 hours
Insurance/physician notification – documented accurately in patient visit and updated in insurance follow up questions
Signatures: COA, CMRI letter, financial waiver, denial letters updating registration fields to ensure alerts are triggered on account to ensure that rep on site will follow up with patient
Medical record numbers are not duplicated
Ensures there are no PHI breeches Screens accounts and make appropriate referrals to FC or On site staff for follow up on unfunded patients
Screens all Medicare inpatient admissions for 72-hour outpatient overlap
72-hour outpatient overlaps are used for Medicare inpatient admits
Complies with all rules and regulations governing Medicare and Medi-Cal billing
Any additional functions as described in Department memos or general updates, including assisting with pre-billing functions as assigned
Obtains all necessary attachments required for billing (i.e. hard copy authorizations, medical records. 18-1. 50-1. etc.)
Assures billing compliance standards are met
Checks for Medicare eligibility, MVP or insurance website for validate insurance coverage
Reviews and release all necessary hold bills
Scheduled, Direct admit patients are pre-verified and pre-authorized prior to hospital admission
Urgent admissions are verified and authorized immediately or upon next business day
Works Hold Bills at the end of each admission process to ensure all holds are released appropriately to support the low touch billing process of the revenue system
MEASUREMENT: Random sample audits reflect a 93-97% accuracy rate. Avoidable duplicate medical record numbers are not created. Coached errors are not repeated. 2-3 exceptions per year meet standard
Complies with all Local, State and Federal guidelines governing Department operations as well as all SDHA and Department memos, guidelines, policies and procedures
Takes responsibility for policy and procedure knowledge
Accesses department references accordingly to assure compliance MEASUREMENT: Knowledge of identification of non-compliance reported to management immediately. No formal corrective action meets standard
Receives and resolves incoming calls and instant notifications for the Centralized Patient Placement Center Department reflecting the Mission, Values and Philosophy of Sharp HealthCare
Demonstrates exemplary customer service and conducts calls using scripting
Accurately documents the patient's visit in appropriate computer systems for all pertinent facts, information and resolutions
Consistently follows all HIPAA requirements
Demonstrates overall system knowledge by accurate use of computer systems
Demonstrates a positive, caring attitude to all customers by providing prompt, courteous, and competent assistance in both personal and telephone interactions
Greets all customers in a cheerful helpful, professional manner
Strives to assure customer satisfaction with every encounter
Assures proper handling of all written correspondence, physician orders, and/or electronic mail
When appropriate, customer concerns, requests, billing questions or general inquiries are addressed or resolved personally, and not forwarded to leadership
Management is advised of all unusual, significant encounters
Communicates regularly to the nursing units of prospective admissions
Communicates effectively and professionally with the on-call physicians, Emergency room physicians and Case Managers when appropriate MEASUREMENT: No more than 2-3 valid observed or documented exceptions per year meets & exceeds standard
Contributes proportionately to Department production
Offers to assist others and asks for assistance in completion of assignments, as needed
Prioritizes effectively, keeps management informed of backlogs and promotes a team approach in completion of job duties
Downtime is used productively
Monitor all visits in TeleTracking for timely placement and accurate assignment of insurance and accommodation type
Contact hospital departments such as Medical Records, Utilization Review, pre billing, financial counselors or external review organizations to resolve any billing or authorization delays
Provide Team Leader and or manager with any account issues that were unresolved
Accurately follows department guidelines, policies and procedures regarding patient placement, order validation and insurance verification
Ensures that patients move efficiently through the systems appropriately and timely collaborates with physicians, case managers and bed coordinators to ensure timely placement
Ensures all notifications are completed on each shift worked and if unable to complete it’s communicated to the next shift MEASUREMENT: 3 expectations of Notifications not sent to payors or lack of follow up on a financial clearance will meet standard
Demonstrates efficiency, organizational and multitasking skills
Must have the ability to work in a fast-paced environment with a positive attitude toward all professional contacts
Must have the ability to use multi-line telephones and view multiple screens with multiple applications running
Coordinates with other Patient access service departments, surgery, emergency, nursing units, and physicians to facilitate efficient bed placement
Critical thinking skills
Conflict resolution - seeks appropriate win/win solutions
Must possess a positive attitude toward healthcare members and a diverse patient population
Exhibits diplomacy, time management, and conflict resolution skills
Demonstrates leadership skills
Must possess outstanding verbal, non-verbal, and written communication skills
Must possess a positive, caring, respectful, calm attitude
Demonstrates ability to initiate, accept and adapt to change, flexibility
Must possess superior listening and negotiating skills and be able to handle situations with confidentiality, trust, and finesse
Accepts instruction, coaching and counseling in a positive productive manner
Identifies own need for skill development and pursues training opportunities
Proficient in use of computers; Word and Excel skills preferred MEASUREMENT: Feedback is accepted constructively and a participative action plan is created when necessary to meet standard
Demonstrates teamwork and cooperation through positive and supportive communication regarding Department changes, goals, policies and procedures
Promotes a positive work environment by respecting others, being honest, fair, and consistent
Takes responsibility for Department morale, and involves management accordingly when issues that affect morale arise
Asks necessary questions regarding new ideas or changes to facilitate a positive reaction and support for innovation
Brings an uplifting, positive approach to work assignments
Accepts interpersonal differences and cooperates with other employees
Accepts responsibility for own actions, personal growth, and development
Attends and participates in regularly scheduled staff meetings and training
Assists team members with outstanding insurance notification and verifications related to patients that are being placed or transferred
MEASUREMENT: Supervisor observations, monitoring of random patient visits will show that department policy without valid supporting documentation on account. 2-3 exceptions per year will meet standard. No more than 5-6 exceptions for meeting attendance per year meets standard
Qualification
Required
5 Years Hospital revenue cycle experience to include: admitting, pre billing, pre verification, or accounts receivable follow up
Medical terminology
Insurances, billing and collections guideline/criteria
Continuous use of computer, including reading and data entry, up to 90% of the shift
Maintain an accurate typing speed of 35-40 wpm
Organized and prioritize work activities
Ability to communicate/discuss personal and financial matters with other healthcare workers i.e. physicians and nursing staff
Document effectively and concisely
Communicate effectively both verbally and in writing
Function well in demanding/stressful environments
Basic utilization management
Preferred
H.S. Diploma or Equivalent
Local, State, and Federal regulations governing registration/billing activities including JCAHO, Title XXII, Medicare and Medi-Cal regulations. ICD-9, and CPT 4 coding experience
Certified Revenue Cycle Representative (CRCR) - HFMA -PREFERRED
Basic computer application experience, Centricity/ ADT,HPA, Cerner, On base, ECIN, Tele tracking, Transfer Center preferred
Company
Sharp HealthCare
Sharp HealthCare is a not-for-profit integrated regional health care delivery system based in San Diego, Calif.
10001+ employees
H1B Sponsorship
Sharp HealthCare has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (2)
2024 (3)
2023 (3)
2021 (1)
2020 (3)
Funding
Current Stage
Late StageTotal Funding
unknownKey Investors
Parkinson's Foundation
2023-07-25Grant
Leadership Team
Dan Exley
Vice President of Clinical Systems
Recent News
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2026-01-07
2025-12-27
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