Sharp HealthCare · 2 months ago
Access Service Representative - SRN Float Pool - Sharp HealthCare - Variable Shift - Per Diem
San Diego, CA
Full-time
Onsite
Entry, Mid Level
$26.95/hr - $37.73/hr
2+ years expSharp HealthCare is a leading healthcare provider, and they are seeking an Access Service Representative for their SRN Float Pool. This role is responsible for coordinating registration functions, ensuring accurate patient information, and delivering excellent customer service while adhering to regulatory guidelines.
Health CareNon Profit
Responsibilities
Coordinates all registration functions necessary to ensure the processing of a clean claim including but not limited to obtaining and processing patient demographics, visit and financial information in a manner that facilitate maximum financial reimbursement and promotes premier customer service
Utilizes Patient Secure to identify the accurate patient medical record while adhering to EMTALA regulations and performs face-to-face interviews directly with patients and/or their designated representatives
Accurate identification and delivery of regulatory documents and securing patient financial responsibility is a key responsibility
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
After medical screening (ER settings), obtain health benefit coverage including possible accident related coverage
Input all insurance coverage information into Centricity Insurance Verification (IF)
If patient unable to provide insurance, search for potential coverage through MCA for SRS/SCMG and MPV (or Portal) for potential Medicare or Medi-Cal
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
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
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 Experience does not go right in accordance to the department standards and Sharp's Behavior Standard Service Recovery
Identify solutions to issues not covered by verbal or written instructions
Prioritize job responsibilities effectively
Keep management informed of backlogs or slow volume
Round on patients when volumes are low as identified by your department
Patients are processed timely based upon depart standards such as quality audits, time, and production measurements
Offer to assist others and asks for assistance in completing of assignments, as needed
Inform patient/families of admission delays and cause if known or allowed
Promotes a team approach in completion of department duties
Contributes to department production by maintaining expected level of productivity designated by the department
As directed by Leadership, provide ongoing support of department and hospital needs as assigned
When applicable, collect patient valuables according to policy and secure them by entering into log and dropping into department safe
Follow hospital policy to release valuables
When applicable, update Patient Type, Bed Placement, Accommodation Code, Attending Physician
Responsible for handling outgoing/incoming Emergency Department calls including outgoing calls for consultations and ancillary services
Calls to physicians and ancillary service areas will be documented in the EMR
Obtain medical records and facilitate transfers from/to outside facilities
Create patient chart for physician and organize charts for the HIM department
Compile workers' compensation paperwork for the ED physician
Monitor ED cafe supplies
Handle outgoing calls to other departments for ED
Input discharge disposition information obtained from EHR orders into patient admission-discharge-transfer (ADT) application
Initiate ED Code calls using the overhead paging system and Code Log Book online
Answer CIC phone lines after business hours and monitor alarm panels for incoming Codes
Authenticate and/or enroll patient at workstations where Patient Secure palm scanner is available
Follow established guidelines such as scripting and picture identification for enrollment and authentication
In absence of Patient Secure workstation, use at least two patient identifiers to confirm patient identity
Notify DUPREG and document potential duplicate and overlap registrations when identified
Populate all demographic screens for new and established patients
In applicable cases, follow registration guidelines for Doe and Trauma patients
Update regulatory fields in demographic data with patient choices on regulatory forms such as Notice of Privacy Practice (NPP), Advanced Directive for Health Care (ADHC), Health Information Exchange (HIE)
Secure patient signature on address attestation
If service is accident related, update appropriate visit fields indicating known details
Follow defined documentation process with homeless patient (i.e. notating 'SB1152' in FirstNet and Edit Visit (EV) form comments)
Observe EMTALA regulations (Emergency Room/ER settings) by avoiding communication of financial information (such as eligibility, copays, authorization) until medical screening is completed
Using scripting, review Conditions of Admission (COA)
If unable to secure signature, indicate reason in Centricity visit comments
Based upon COA patient review, update appropriate Centricity fields related to status of ADHC, No Publish, Notice of Privacy Practices, and Patient Rights
More fields may be added as regulations change
In cases where Tricare or Medicare/Medicare Advantage is primary or secondary, use scripting to review and deliver appropriate regulatory form (Tricare Rights, Tricare Third Party Liability, and Important Message from Medicare (IMM) form)
If signature secured, update Centricity fields in appropriate insurance follow-up field
If unable to secure signature, indicate reason in Centricity visit comments
Follow guidelines for delivery of Medicare Outpatient Observation (MOON) and Outpatient Observation Notice (OON) to all patients being admitted in an Observation status
Request and input Primary Care Provider (PCP) information and initiate Health Information Exchange (HIE) process as appropriate
In areas performing post regulatory review, address outstanding alerts in the Centricity Alerts Manager based upon your department's workflow
Secure necessary Access Service related documents and scan to correct form/identifier
Qualification
Required
2 Years experience in a business service setting
Must have experience communicating effectively both verbally and in writing professionally
Preferred
H.S. Diploma or Equivalent
Experience communicating and discussing personal and financial matters with patients and/or their representatives is preferred
HFMA certifications preferred
Company
Sharp HealthCare
Sharp HealthCare is a not-for-profit integrated regional health care delivery system based in San Diego, Calif.
10001+ employees
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
Leadership Team
Dan Exley
Vice President of Clinical Systems
Recent News
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2026-01-07
2025-12-27
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