"Alerted.org

**Facility:** Sharp Memorial Hospital

**City** San Diego

Department

Job Status

Regular

Shift

Day

FTE

1

Shift Start Time

Shift End Time

Certified Revenue Cycle Representative (CRCR) - HFMA; Bachelor's Degree

Hours** **:

Shift Start Time:

8 AM

Shift End Time:

4:30 PM

AWS Hours Requirement:

8/40 - 8 Hour Shift

Additional Shift Information:

Weekend Requirements:

No Weekends

On-Call Required:

No

Hourly Pay Range (Minimum - Midpoint - Maximum):

$24.750 - $30.860 - $36.970

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

Determine and educate the patient of their financial liabilities, collect any amounts owed, and oversee the financial investigation to identify payment sources and possible alternatives.

Preferred Qualifications

+ Bachelor's Degree

+ 3 Years experience in a health care system revenue cycle.

+ Previous social work or case management experience.

+ Certified Revenue Cycle Representative (CRCR) - HFMA - PREFERRED

Other Qualification Requirements

+ Covered California Certified Enrollment Counselor Certification preferred.

Essential Functions

+ Collaboration and communicationEnsures continuity of care by building relationships with Sharp affiliated and community physicians.Maintains open communication and feedback to maximize the use of health care resources to members of the community.Provides timely communication to the assigned social worker/case manager regarding the status of application.Demonstrates willingness to assist co-workers and/or to accept additional assignments as requested to support the department's efficiency as observed by the supervisor.Promotes and contributes positively to inter-departmental issue resolution.Performs bedside visits and present's patient with their liability information.Provides patient tools and resources for prompt payment.

+ Database and record managementUtilizes electronic databases to identify a patient's projected out of pocket responsibility.Completes required documentation in GE/Centricity HPA application.Updates demographic & insurance documentation.Reviews supporting documentation provided by patients for accuracy.Ensure information submitted to databases is accurate and processed timely.Files and prints all agreements according to department guidelines in adherence with HIPPA.

+ Patient servicesDetermine the patient's financial liabilities.Works collaboratively with PAS Payor Focus Department to determine insurance benefits.Identify patient responsibilities and apply the Financial Toolkit to resolve a patient's out of pocket expense.Demonstrated knowledge of Sharp contracts to include but not limited to PPO, HMO, and State Health Insurance Exchange qualified health plans.Provides direction and assistance to all self-pay portions of the patient's receivables.Demonstrates knowledge of Federal Poverty Limits.Knowledge of Fair Debt Credit Protection Act, Sharp Healthcare Financial Assistance Programs, Payment Options, and discount policies.Manages patient's expectations for assistance through effective communication and interaction.Identifies appropriate referrals to the Public Resource Specialists.

+ Problem resolutionApplies Planetree Principles and delivers options with compassion.Presents the patient with the best option for their situation.Works with the manager to determine other payment/discount options on a case-by-case basis.Uses effective interviewing skills to elicit patient application for funding information.

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