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Chula Vista

    patient service rep - Chula Vista, CA , USA, United States - Sharp Healthplan

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    Description
    Hours


    Shift Start Time:
    Variable


    Shift End Time:
    Variable


    Additional Shift Information:

    Weekend Requirements:
    As Needed


    On-Call Required:
    No

    Hourly Pay Range (Minimum - Midpoint - Maximum):
    $ $ $31.747

    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

    Represents Sharp Rees-Stealy by providing patients with appointments, information and other operational support services for assigned department. Provides a high level of customer service in a manner consistent with our Mission and Goals. Responsible for patient registration, demographic and insurance updates. Confirms insurance eligibility and obtains authorizations for service. Works with patients to resolve billing and insurance related issues.

    Required Qualifications


    • Medical office experience required with a strong emphasis in customer service, computer skills, and phones or completion of a medical receptionist or equivalent training program.
    Preferred Qualifications


    • H.S. Diploma or Equivalent
    • Completion of a medical receptionist or equivalent training program.
    Essential Functions


    • Collaboration and teamwork
    Demonstrates a commitment to serving other employees above self through teamwork collaboration, developing others and supporting SHC values. Promotes constructive working relationships. Works effectively and as a part of a team to meet departmental goals and objectives. Is respectful and trustful of others. Decisions are guided by the organizational values and are made with honesty and respect.

    Effective, clear communication to promote excellent department operations and efficient patient care.

    Stays informed through staff meetings and shares pertinent information with others.

    Assists co-workers with their tasks.

    Demonstrates flexibility to meet clinic and SRS Rehab Service needs.

    Assists in the daily department maintenance and general departmental flow.

    Promotes a positive work environment by accepting interpersonal differences and respecting others' values and opinions.

    Demonstrates appreciation for the work of others by offering praise and noting a job well done to others.

    • Communication
    Responds to all phone calls within 3 rings and answers with name and department.


    Asks before placing a caller on hold, waits for a response and checks back with the caller and offers alternatives.

    Uses a pleasant voice.

    Is helpful and knowledgeable and thanks the caller at the end of the call.

    Takes complete messages that are formatted neatly, concisely, spelled correctly and written using correct medical terminology.

    Announces call to connecting party when transferring a call.

    Returns phone messages according to established guidelines based on message documentation.

    Refers telephone calls appropriately.

    • Department operations


    Provides accurate information to all customers including patients, physicians, co-workers and visitors and maintains a variety of office support activities.

    Prepares and monitors daily/weekly schedules, labels and reports accurately per department guidelines and within established timeframes.


    Offers information and education to patients on customer services such as van shuttle, nurse connection and educational classes and assists patient with necessary forms and directions.

    Maintains supply levels, patient brochures and exam preparations for work area. Notifies supervisor of key user of any repairs or maintenance needed in the environment.


    Knowledgeable on procedure for activating appropriate emergency support systems (i.e., code blue, red, etc.) and monitors patient waiting area alerting physical therapist, physician or nurse of any potential medical occurrences.

    Follows established cash receipt policy and procedures for collection of payments. Balances and secured cash drawer. Prepares daily deposit. Knowledgeable on patient account and billing information.

    • Financial responsibilities
    Accepts accountability for the organization's financial success while delivering the highest quality of care and service.

    Demonstrates flexibility in work practices.

    Supports organizational cost containment (i.e., following work comp and PPO authorization guidelines).

    Takes initiative in using time effectively.

    Actively sets priorities and adjusts to unscheduled situations.

    Accepts responsibility for own actions and outcomes.

    Initiates communication with others to ensure job is completed successfully.

    Department goals (i.e., department productivity, CUOS, patient visits and FTE's).

    Follows established cash receipt policy and procedures for collection of payments.

    Balances and secures cash drawer. Prepares daily deposit with minimal reminder to complete in an accurate and thorough manner.

    Knowledgeable on patient account and billing information. Performs mini-registration procedures and verifies insurance eligibility.

    • Scheduling


    Schedules appointments following appropriate provider guidelines, based on composite of the following and measured by supervisory review of relevant reports.


    Schedules appointments with the correct visit type, provides patients with accurate appointment information, verifies collector code and updates patient information and appointment site location.

    Confirms future appointments with patient according to guidelines.

    Other scheduling (e.g. IDX and PPO insurance authorization) as identified by site.

    Using a keyboard, type proficiently and accurately.

    Type a minimum of 30 words per minute with 0-2 errors.

    Proof work.

    Knowledge, Skills, and Abilities


    • Knowledge of medical terminology required.
    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


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