Financial Service Representative II - Cardiac Rehab - Chula Vista Medical Center - Day Shift - Part Time

Hours : Shift Start Time :

Shift Start Time : 8 AM

8 AM

Shift End Time : 4 : 30 PM

4 : 30 PM

AWS Hours Requirement :

8 / 40 - 8 Hour Shift

Additional Shift Information :

Weekend Requirements :

Not Specified

On-Call Required :

Hourly Pay Range (Minimum - Midpoint - Maximum) :

$24.750 - $30.857 - $36.964

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

To perform secretarial, clerical, billing, insurance pre-authorizer, and admitting duties for the Cardiac Rehabilitation department.

Required Qualifications

2 Years experience as a secretary utilizing word processing systems and software, and familiarity with general office procedures.

Preferred Qualifications

• H.S. Diploma or Equivalent
• Hospital experience and insurance / billing experience.

Essential Functions

Daily operations

After receiving cardiac rehabilitation MD referral, contacts each client within 1 week of discharge to inform them of their pre-admit status (ie.

insurance, referral, etc.) and sets up assessment if appropriate. If these clients are not able to enroll at this time, then contacts clients in hold file on a weekly basis to assess status and maintain contact.

Appropriately triages charts of those clients with medical needs to nurses for follow-up.

Accurately and in a timely manner completes client referral forms.

Verifies insurance eligibility and benefits. Obtains authorizations and notifies appropriate review organizations and client's attending physician when necessary.

Establishes tracking and follow-up systems for referrals that are pending information from external sources. Documents using computer system and verification worksheet thoroughly and clearly with required information.

Contacts perspective Cardiac Rehabilitation clients within twenty-four hours after insurance verified and physician referral received.

Communicates and coordinates with Cardiac Rehab and ancillary staff : client assessments, orientation, diet appointments, and accurately maintains master client schedule.

Uses computer system to register outpatients. Accurately records all client demographics and insurance information.

Enters monitored client outpatient billing charges daily and non-monitored client charges by the end of

the month. Runs reports and maintains productivity spreadsheets on an as-needed basis. Detects possible errors / discrepancies in the raw data submitted, and on final productivity report.

Turns in biweekly and monthly statistical reports within three days after end of PP or month.

Evaluates systems / processes

PROBLEM SOLVING : Demonstrates initiative in constructively identifying problems and flaws in departmental procedures and / or operations (Constructively means "in writing and with recommendations for solution") Utilizes systematic problem solving steps to identify and resolve

department and patient-related problems by :

Assessing the problem.

Gathering input from others.

Identifying a plan for resolution.

Evaluating outcomes achieved.

Financial responsibilities

Maintains departmental procedure volume (UOS) 96-104%.

Responsible for the restructuring, maintenance and daily upkeep of filing system for the department.

Conducts weekly inventories and maintains stock of all office supplies and forms. Completes purchase orders, reorders and maintains necessary supplies, linen, and equipment.

Keeps the reception areas clean and restocks / reorders clerical and departmental supplies as necessary or as directed.

Responsible for the completed documentation, handling and maintenance of permanent charts and work sheets by keeping orderly and completed files according to departmental policy.

General support

Prioritizes and completes scheduled and unscheduled projects as assigned by department Lead / staff. Delegates to and supervises ancillary / volunteer staff as necessary to ensure quality of work. Types

assigned correspondence, reports, minutes, etc., so that the final product reflects a high level of quality, within 72 hours, unless otherwise specified.

Uses correct grammar, spelling, and punctuation. Material format is spaced correctly, is easy to read, and follows guidelines used throughout the hospital.

Workflow proceeds in a timely manner.

Incoming departmental phone calls are answered within three rings. Triages phone calls appropriately (ie, message taken for or forwarded to appropriate staff member in timely manner, etc.)

Productivity and customer service

Organization skills enable employee to complete work within assigned shift. Responds to telephones promptly. Spends time assisting fellow staff members and customers.

Cleans and restocks work area and contributes to general orderliness of unit. Completes ancillary assignments where appropriate.

Teamwork and accountability

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.

Ask 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.

Knowledge, Skills, and Abilities

• Ability to execute tasks with minimal supervision.
• General knowledge of office procedures.
• Effective interpersonal and customer relations skills through both phone and face-to-face contact.
• Intermediate computer skills.
• Ability to prioritize and do multiple tasks effectively and efficiently.
• Knowledge of medical insurance, billing, and collections guidelines / criteria.

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