Must have experience communicating effectively both verbally and in writing professionally.
Requirements
H.S. Diploma or Equivalent
Experience communicating and discussing personal and financial matters with patients and/or their representatives is preferred.
Other Qualification Requirements
HFMA certifications preferred.
Essential Functions
Collections
Follow department guidelines for providing patient with estimate letter.
Request payment of co-pay, deductible, estimated out of pocket or good-faith deposit in a manner specified in department and hospital policies. If patient unable to pay requested amount, negotiate some portion.
Receive and process funds, print and file receipt, and update Centricity visit comments. Secure all funds and receipts in accordance with department standard.
Completes insurance verification and evaluation
Insurance/Plan Selection:
Use Coordination of Benefits (COB) standards to prioritize billing order of insurance plans.
Medicare patients - Medicare Secondary Payer (MSP) questionnaire is completed.
Validate insurance eligibility electronically (e.g. MPV, Experian) when applicable. Validate health benefit coverage including possible accident related coverage.
Validate and identify the Primary Medical Group on Health Maintenance Organizations (HMO) patients. Notify the clinical staff, including physician, on patients that are out-of-network.
Follow process to estimate patient out of pocket based upon department guidelines and collect patient financial responsibility.
Communicate to patient and leadership when unusually high out of pocket, unusually limited coverage, and/or if insurance is out of network (OON) following the guidelines established for the facility.
Unfunded:
Initiate interview on unfunded/underfunded patients. Input financial screening results into Pointcare fields as appropriate and provide patient with potential coverage options. Complete the process by recording the outcome through X8 function.
Complete HPE (Hospital Presumptive Eligibility) process when appropriate.
Document in Centricity visit comments if patient declined or completed financial screening.
Follow self-pay process (aka toolkit) to discuss the Sharp out of pocket expectation.
Customer service
Use AIDET, key words at key times, On-Stage Behavior and support 5-star results on patient satisfaction.
Communicates effectively both orally and in writing sufficient to perform the essential job functions. Use tact and empathy in working with customers under stressful situations and with frequent interruptions.
Avoid abbreviations when communicating to patient.
Adapt and protect patient privacy as needed (i.e. lowering voice, using face sheets vs. verbal interviews).
Practice good interpersonal and communication skills and ability to work well with others contributing to a team environment.
Practice a positive and constructive attitude at all times.
Negotiates with others, handles minor complaints by settling disputes, grievances, and conflicts.
Perform service recovery when The Sharp
Benefits
Health insurance
Additional Information
Hours :
Shift Start Time:
Variable Shift End Time:
Variable
AWS Hours Requirement:
8/40 - 8 Hour Shift
Additional Shift Information:
Weekend Requirements:
As Needed
On-Call Required:
No
Hourly Pay Range (Minimum - Midpoint - Maximum):
$27.830 - $33.390 - $37.400
This position is covered by a Collective Bargaining Agreement (CBA) with SEIU-UHW. As part of the terms of employment, employees in this role are required to join the union within 31 days of hire and remain a member (e.g. dues paying, fee paying, religious exception contributor) for the duration of the collective bargaining agreement.
This position was originally posted to ratified SEIU members from 05/06/26 - 05/14/26. The position is now available to be filled by internal candidates that are not members of the ratified Bargaining Unit or External candidates to Sharp.
Sharp · Chula Vista, CA