Sharp HealthCare Business Service Representative in San Diego, California

Summary

The Business Service Representative will process new patient registrations, assist patients with billing questions, process co-pays and co-insurance payments. Notify patients and other department team members of pending authorizations for surgeries, specialty consults, etc, and status of patient requests. This position supports our patients by providing a solid, thorough knowledge of Healthcare Insurances, HMO and PPO authorization requirements, complex Radiology procedure authorizations, explains billing processes, and provides detailed information on co-payments, deductibles, out of pocket expenses, and more. This person will be working in an environment that allows them direct "face" time with new patients, visitors, staff and providers in our facilities and we count on this person to be the epitome of the "Sharp Experience". Requests for assistance will come from all departments and interaction with other team members is a daily occurrence. Our team depends on this position to keep current with PPO eligibility and authorization processes for specialty procedures, CT and MRI scans and consults. This position is key to our success here at Mira Mesa and we want to ensure that our patients have the opportunity to have their customer service expectations met and / or exceeded on every single visit.

The Support Services team consists of our Business Service Representative and Patient Service Representatives that support all departments needs with front desk coverage and Business services such as insurance authorizations, eligibility inquiries, new patient registrations and other necessary functions of administrative / clerical needs of the site. This department functions exceptionally well as a team. Our patient satisfaction scores are consistently high and we are dedicated to maintain our gains and exceed the internal and external customers’ expectations consistently!

With 450 primary and specialty care physicians providing care at 21 facilities throughout the region, Sharp Rees-Stealy Medical Group is one of the largest, most comprehensive medical groups in San Diego County, and is recognized for excellence in patient satisfaction and clinical care. For patient convenience and improved coordination of care, Sharp Rees-Stealy offers services like laboratory, radiology, physical therapy and urgent care within each clinic or nearby.

Sharp Rees-Stealy has also opened two remarkable state-of-the-art medical office buildings. One located in Downtown San Diego and the other in Sorrento Mesa. Both will provide their communities with leading edge care for decades to come.

Location

This position will travel to Mira Mesa, Sorrento Mesa and Scripps Ranch in San Diego County

Hours:per diem position, variable 8 hour shifts with occasional weekends.* *

Required Skills and Qualifications

  • Minimum of at least two (2) years’ experience in Medical Business Office, Medical Insurance Billing or Medical Scheduling Systems.

  • Ability to utilize resources in an organized manner.

  • General knowledge of office procedures.

  • Effective interpersonal and customer relations skills.

  • Strong professional level of written and oral communication skills.

  • Ability to diffuse volatile situations and use good judgment and tact in dealing with patients.

  • ICD-9 coding, RVS coding and CPT coding.

  • High School Diploma or equivalent.

Preferred Skills and Qualifications

  • Bilingual (English/Spanish)

  • Medical terminology certificate

Essential physical requirements of position may be discussed during interview.

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.

Job: *Clerical Jobs

Organization: *71250 - Patient Account Reps

Title: Business Service Representative

Location: San Diego-SRS Sorrento Mesa

Requisition ID: 92471

Other Locations: San Diego-SRS Mira Mesa, San Diego-SRS Scripps Ranch