Access Service Representative - Admitting/ED - Coronado Hospital - Variable Shift - Full Time

Sharp HealthCare; Coronado (CA); On-site; USD 34,440 - 46,838; Full time

Job summary

Sharp HealthCare is seeking an experienced Patient Access Specialist to perform outpatient registration for the ancillary area and promote premier customer service. You will help coordinate the revenue cycle from pre-registration to departures, verify insurance, and secure required referrals and authorizations.

The role emphasizes accurate data collection, patient privacy, and efficient check-in, with weekend coverage on an alternating basis and variable shift times.

Qualifications

• H.S. Diploma or Equivalent.
• HFMA Certification Preferred.
• Experience in patient access or registration is a plus.

Responsibilities

• Performs out-patient registration to initiate medical records and billing.
• Verify insurance and collect demographic, visit, and financial information.
• Coordinate with ancillary areas to ensure smooth patient flow and safety.
• Handle patient communications, scheduling and referrals per procedures.
• Maintain accurate Centricity and OnBase documentation and scans.
• Assist with COA, MSP and authorization requirements as needed.

Skills

Cash handling

Customer service

Communication skills

Teamwork

Education

HS Diploma or Equivalent

Tools

Centricity Business Visit Manager

OnBase

Job description

Hours

Shift Start Time: Variable

Shift End Time: Variable

AWS Hours Requirement: 8/40 - 8 Hour Shift

Additional Shift Information:

Weekend Requirements: Every Other

On-Call Required: No

Hourly Pay Range (Minimum - Midpoint - Maximum): $25.300 - $30.360 - $34.000

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 06/08/26 – 06//16/26. 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.

What You Will Do

Performs out-patient registration process for ancillary area and promotes premier customer service. Patient Access Services (PAS) department coordinates all phases of the revenue cycle from pre-registration up to and including departures, referrals, and denial management. This role performs pre-registration/registration functions prior to or at the time of the visit date to initiate a medical record and bill, obtain demographic, visit, and financial information. Insurance benefits are confirmed with online verification systems or telephone inquiries. All applicable PAS ancillary forms are generated, completed and distributed for each visit and appropriate information is secured for referrals and authorizations required from insurances. Coordinates the ancillary area to promote patient safety, incoming ancillary department phone calls and monitoring of the ancillary waiting area.

Required Qualifications

• H.S. Diploma or Equivalent

Other Qualification Requirements

• HFMA Certification Preferred.

Essential Functions

• Cash collection
  Notification to scheduled patients with any self-pay liability at least 1 day prior to procedure. If patient is unable to pay requested amount, negotiate a portion.
  Request payment of co-pay, deductible, or coinsurance portion due prior to the service.
  Receive funds, issue receipt and update Centricity visit comment to assure proper crediting and auditing of receipts.
  Security is adequately provided for all funds and receipts at all times.
  Ancillary deposits are prepared, verified and reconciled according to department and hospital standards.
  Able to competently use the self-pay price quote system.
• Completes insurance verification and authorizations
  Review all scheduled patient accounts to ensure pre-verification prior to the procedure.
  Use Centricity Business Visit Manager to review all pre-scheduled radiology procedures. Complete Visit Manager checklist as appropriate for scheduled radiology accounts.
  Review insurance coverage information in Centricity Business. Use standard Coordination of Benefits standards to prioritize billing order for insurance plans.
  Review insurance eligibility and benefits in MPV.
  Verify all required hard copy authorizations are scanned in.
  Identify co-pay amount and any other patient liability including coinsurance and deductible amounts.
  Updated Centricity visit comments with expected patient out of pocket.
  Complies with all rules and regulations governing Medicare and Medi-Cal billing as well as assures all billing compliance standards are met.
  Review all hold bills and work as appropriate.
• Department operations
  Answers incoming ancillary phone lines in a respectful manner.
  Ability to handle incoming call volume and transfer accordingly.
  Ability to review ancillary computer systems to assist with monitoring patient flow and wait times.
  Patient/families are always informed of delays, including reason for delay.
  Monitors ancillary waiting area and updates provided to patients as needed.
  Demonstrates teamwork and cooperation specifically with the ancillary area being supported through positive communication.
  Downtime is used productively.
  Prioritizes effectively and keeps management informed of backlogs.
• Patient data management
  Populate all demographic screens for new and established patients to comply with Sharp Registration Standards.
  Secure patient signature on address attestation.
  Deliver the Notice of Privacy Practices (NPP) and the Patient Rights to patients new to Sharp Healthcare. Update the registration field related to NPP.
  Obtain accident related information and update appropriate visit fields with known details.
  Enter appropriate diagnosis with no abbreviations.
  Secure Primary Care Provider information.
• Patient safety
  Coordinate check-in of all scheduled and non-scheduled patients to the ancillary area to ensure patient safety.
  Authenticate and/or enroll patient in Patient Secure palm scanning. Follow established guidelines such as scripting and picture identification for enrollment/authentication.
  In absence of Patient Secure, use at least two patient identifiers to confirm patient identity.
  Review of physician order to facilitate check-in.
  All efforts are made to appropriately prioritize scheduled patients.
  Notify DUPREG when potential duplicate registrations are identified.
• Regulatory
  Using scripting, review Conditions of Admission (COA) with patients, secure signature on COA and update the COA field.
  COA fields are clearly and accurately completed on form.
  For Medicare patients, complete Medicare Secondary Payer (MSP) questionnaire.
• OnBase
  Use of OnBase to review physician orders.
  Obtain and scan all necessary access service related documents (i.e. physician orders, hard copy authorizations, ID cards and insurance cards).
  All scans are expected to be clear and associated with the correct identifier.
  All scans are located on the appropriate account associated with the document.

Knowledge, Skills, and Abilities

• Ability to communicate/discuss personal and financial matters with patients and/or their representatives.
• Ability to document effectively and concisely,.
• Ability to communicate effectively both verbally and in writing.
• Ability to function well in demanding/stressful environments.

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