Patient Service Representative - SRS Urgent Care - Variable Shift - PRN jobs in United States
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Sharp HealthCare · 3 months ago

Patient Service Representative - SRS Urgent Care - Variable Shift - PRN

Sharp HealthCare is a leading healthcare provider, and they are seeking a Patient Service Representative to assist patients with scheduling needs and provide operational support services. The role involves ensuring front office administrative tasks are completed accurately while delivering high levels of customer service in line with the company’s mission and goals.

Health CareNon Profit
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H1B Sponsor Likelynote

Responsibilities

Processes customer issues promptly and prioritizes patient's needs
Investigates billing questions for patients and staff
Directs patients appropriately for additional assistance when issue can not be resolved
Reviews pertinent account information, notifies patients, and attempts collection of outstanding balances for all past visits
Utilizes leadership when circumstances (questionable financial standing, patient contests poor remarks) arise as needed
Provides accurate information to all customers (including patients, providers, co-workers and visitors)
Monitors daily system reports (such as daily log, provider on-call schedule, department schedule, report, etc) as needed
Maintains the urgent care confidential file and collection codes
Maintains supply levels for work area, notifies supervisor of any repairs or maintenance needed in the environment and troubleshoots equipment problems if applicable
Orders supplies as needed
Knows procedure for activating appropriate emergency support systems (code blue, tire, disaster etc.) and monitors patient waiting area for potential emergency issues or safety concerns
Notifies security as needed
Alerts provider or nurse immediately of any potential medical emergencies
Utilizes the risk list as a guide
Initiates CPR as needed
Offers information and education to patients on customer services such as van shuttle, Nurse Connection and educational classes, and assists patients as needed with necessary forms and directions
Accurately balance batch for each shift worked - no more than 4 batch errors in a year (shortage/ overages, Reconciliation form incomplete, money not taped.)
Confirms and/or updates all patient demographics, financial, insurance and primary care information
Collects co-payments and maintains co-payment collection rate per departmental guidelines
Collects co-payments for Lab and Occupational Medicine
Generates on-site itemized bill from MediLinks ED
Collects all charges from private pay patients according to SRS Policy and Procedures
Follows SRS Policy and Procedures for payment reversals, and UC Co-Payment Algorithm
Maintains safety of cash bags and keeps cash drawer locked
Ensures that their own deposits are rolled in safe after each shift worked and all keys are secure
Rounds on patients in lobby waiting more than 30 minutes and on family members or friends who are waiting on patients that are being treated
Maintains rounding log during each shift and is accountable to department standards for rounding
Assists with providing comfort measures (blankets, ice packs, water)
Use of proper down-time procedures for GE/IDX, MediLinks ED and Enterprise (Touchworks)
Ability to type a minimum of 30 words per minute
Prevents and monitors for disclosure of Protected Health Information (PHI) and reports incidents immediately to leadership
Review self pay patient's bill against nursing chart to verify accuracy at time of service
Registers new patients accurately ensuring all required fields are completed
Registrations include ADHC notification and documentation of Notice of Patient Privacy laws and advanced directives
Provides standard welcome packet information to all new patients
Verifies and updates insurance and demographic information in IDX and MediLinks ED
Verifies insurance eligibility using internet-based eligibility verification resource or via the telephone
Documents proper financial comments to substantiate the eligibility or non-eligibility
Uses correct financial Status Classification (FSC) codes and logic
Understands how to read insurance cards and explain to patients at time of service
Documents pertinent facts and resolution in Financial Comments in CJ F/IDX for current and past visits
Obtains pre-authorizations for Urgent Care, Occupational Medicine and ancillary visits as needed
Contacts PMD offices for prior authorizations
Notifies nursing staff of patient's with possible ABNs prior to test completion
Notifies nursing and provider staff when patients are not eligible to be referred to SRS specialty departments such as Ortho or Cardiology
Utilizes PatientSecure to confirm patient identity prior to scheduling an appointment
Schedules appointments following appropriate provider guidelines for UC, Occupational Medicine and ancillary services
Schedules same day patient appointments in GE/IOX and MediLinks ED and other pertinent applications
Responsible for other scheduling (TouchWorks, Orders, exam preparations) as identified by site
Arrives patients in the GE/IDX system accurately and within established timeframes as needed
Notifies provider when senior patients are eligible for HCC coding
Flags chart per department guidelines
Registers Lab patients for appointments after hours and on weekends
Displays the willingness to float and assist in other departments and at other sites
Prioritizes assignments effectively by setting individual work goals and objectives in consultation with co-workers and leadership
Troubleshoots potential and actual problems while keeping leadership informed in a timely manner when problematic situations arise
Maintains current knowledge of all pertinent in-services GE/IDX applications, MediLinksED system, Enterprise (Touchworks, scheduling guidelines, safety and health-related in-services, etc) by documented attendance at programs, training, or in-services
Demonstrates practical knowledge of current phone system and other related equipment
Identifies personal and individual needs for skills development and pursues training opportunities
Brings ideas to leadership for programs or procedures that will help the department to better serve its patients, providers, co-workers, and visitors
Provides, and is receptive to, feedback about care and service delivery in a positive and constructive manner
Performs all other duties as required by Director, Patient Care Manager, coordinator, lead, or supervisor
Takes complete messages that are formatted neatly and concisely, spelled correctly, and written using correct medical terminology
Returns phone messages according to established guidelines and documents appropriately
Responsible for other possible measures for above items as applicable
Refrains from personal calls at the front desk; refrains from chewing gum
Types proficiently and accurately; has the ability to proof work
Consistently abides by and demonstrates the Sharp Healthcare Telephone Standards
Manages multiple telephone lines simultaneously while providing superior customer service and attempting to maintain first call resolution
Maintains current knowledge of insurance contracts
Assists with the training of new hires for insurance and financial matters
Attends Business Service Representative training during orientation and functions in that role as needed

Qualification

Customer service experienceMedicalHospital experienceAHA BLS certificationMedical terminologyComputer proficiencyMulti-line phone management

Required

H.S. Diploma or Equivalent
1 Year customer service experience
AHA BLS for Healthcare Professionals required within the first 90 days

Preferred

Medical or hospital setting experience
Medical Terminology is preferred
Proficiency in the use of computers and the internet for business related activities
Capable of efficiently managing multiple phone lines in a professional office setting

Company

Sharp HealthCare

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Sharp HealthCare is a not-for-profit integrated regional health care delivery system based in San Diego, Calif.

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 Stage
Total Funding
unknown
Key Investors
Parkinson's Foundation
2023-07-25Grant

Leadership Team

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Dan Exley
Vice President of Clinical Systems
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Company data provided by crunchbase