Sharp HealthCare · 7 hours ago
Financial Service Representative II - SGH Cardiac Rehab - Brier Patch - Day Shift - Per Diem
Sharp HealthCare is a healthcare provider seeking a Financial Service Representative II for their Cardiac Rehabilitation department. The role involves performing secretarial, clerical, billing, and insurance pre-authorizer duties to ensure compliance with regulations and facilitate efficient patient admissions and billing processes.
Health CareNon Profit
Responsibilities
Completes all functions, at point of registration, necessary to comply with JCAHO and Title XXII, and facilitate the production of a prompt, clean bill drop 4-7 days post patient discharge
Complete and Verify accurate demographic and visit data
Complete and accurate insurance selection and follow-up questions
Insurance/physician/Therapist notification - documented
Dissemination of admission forms - Notice of Privacy Practices, ADHC, Medi-Care questionnaire
Signatures: Consents, COA, denial letters
Medical record numbers are not duplicated
Complies with all rules and regulations governing Medicare and Medi-Cal billing
Check for MCARE overlapping charges for all accounts
Any additional functions as described in Department memos or general updates, including assisting with prebilling functions as assigned
Obtain all necessary attachments required for billing (i.e. hard copy authorizations, medical records, etc.)
Assures billing compliance standards are met
Checks for Medicare eligibility
Scheduled patients are pre-verified and pre-authorized prior to admission within 2 business days of receipt
Ensure prescription with diagnosis is available prior to first scheduled visit
Complies with all Local, State and Federal guidelines governing department operations as well as all SDHA and department memos, guidelines, policies and procedures
Take responsibility for policy and procedure knowledge
Assess department reference accordingly to assure compliance
Knowledge of identification of non-compliance reported to management immediately
Demonstrates a positive, caring attitude to all customers by providing prompt, courteous and competent assistance in both personal and telephone interactions
Greets customers in a cheerful, helpful, professional manner
Strives to assure customer satisfaction with encounter
Assures proper handling of all written correspondence, physician orders, and/or electronic mail. When appropriate, customer concerns, request, billing questions, or general inquiries are addressed or resolved personally, and not forwarded. Management is advised of all unusual, significant encounters
Acts as liaison between patient and billing office, fielding phone calls and counseling walk-in patients by answering questions and solving problems
Notifies patients of their financial responsibilities per hospital policy and ensures payments to be made at time of appointment are collected
Make financial arrangements with patients who have self pay accounts, co-insurance and co-payments
Communicate with patient regarding estimated cost, payment arrangements, and secure contract arrangements signatures
Documents estimates and arrangements thoroughly in computer and in patient intake form
Uses IDX accurately and in a timely manner completes patient referral forms
Verifies insurance eligibility, benefits, obtains authorizations and notifies appropriate review organizations, and patient's attending physician when necessary
Establishes tracking and follow-up systems for referrals, which are pending information from external sources, and continued patient treatments
Documents using computer system and verification worksheet thoroughly and clearly with required information
Pre-registers patients upon completion of insurance verification
Organizes time and prioritizes workload to meet deadlines and avoid back-log
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
Take responsibility for department morale and involves management accordingly when issues that affect morale arise
Ask necessary questions regarding new ideas or change 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
Qualification
Required
2 years' experience as a secretary utilizing word processing systems and software, and familiarity with general office procedures
Preferred
H.S. diploma or equivalent
Previous hospital experience and insurance/billing experience
Company
Sharp HealthCare
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 StageTotal Funding
unknownKey Investors
Parkinson's Foundation
2023-07-25Grant
Recent News
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