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Sharp HealthCare in California seeks a hospital registration and billing specialist to process patient information, schedule tests, and ensure accurate billing. You will handle patient demographics, visits, and insurance while maintaining high-quality service and adherence to HIPAA.
The role emphasizes coordinating scheduling, bed control, and communication with departments to avoid delays and optimize patient flow. Union guidelines apply under the applicable CBA with SEIU-UHW.
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): $28.100 - $35.040 - $39.240 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 08/07/26 - 08/15/26. 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.
Obtains and processes patient demographic, visit, and financial information in a manner that facilitates maximum financial reimbursement and promotes premier customer service. Coordinates scheduling and bed control activities that assure appropriate patient placement in hospital.
H.S. Diploma or Equivalent 2 Years In the medical office or business Services setting with demonstrated above-standard performance in billing, front office, scheduling, account follow-up, and at least one other area of expertise.
Collect and compile utilization data Document collection efforts and results in ADT. Follows department guidelines for self pay patients, making payment arrangements with patients prior to services rendered. Department efficiency and effectiveness Prints and or routes schedules to appropriate departments as necessary. Assures there are no conflicts with shared resources. When possible, assures same doctor and same type cases follow in same room. Assures rooms or resources are closed appropriately. Seeks clarity before completing the scheduling function when physician orders are not clear or refers to nurse for follow up. Asks assistance from Clinical Leads and/or Charge Nurse or their designee for extraordinary room utilization. Informs appropriate leadership, staff, other departments and/or material management of case needs. Department production Patient/families are always informed of scheduling delays, including reason for delay, including reason for delay. Offers to assist others and asks for assistance in completion of assignments, as needed. Prioritizes effectively, keeps management informed of backlogs, and promotes a team approach in completion of job duties. Downtime is used productively and downtime procedures are followed. Call volume is evenly distributed amongst peers Participates and cooperates with department quality assurance program. Works additional/different shifts as needed
Completes all functions, at point of registration, necessary to comply with JCAHO, Title XXII, PSDA and facilitate the production of a prompt, clean bill drop 4-7 days post patient discharge. Complete and accurate registration functions including; demographic data, visit, and insurance selection and follow up questions. Insurance/physician notification - documented Dissemination of admission forms - CMRI letter, ADHC, Medi-Cal questionnaire Medical record numbers are not duplicated Screen accounts and make appropriate Medi-Cal and CMS referrals to appropriate financial counselor or self pay rep Complies with all rules and regulations governing Medicare and Medi-Cal billing. Any additional functions as described in Department memos or general updates, including assisting with pre billing functions as assigned. Obtain all necessary attachments required for billing (i.e. hard copy authorizations, medical records, 18-1, 50-1, etc.). Assures billing compliance standards are met Scheduled patients are pre-verified and pre-authorized prior to facility visit. Urgent admissions are verified and authorized immediately or upon next business day Controllable mail backs are less than 1% of total billing production Assist with registration functions as assigned Manages patient information per sharp healthcare confidentiality and HIPPA Policies. If applicable, patient billing, charges are entered in a timely manner and error/discrepancies are reported and resolved timely.
Consistently follows through with all components of scheduling. Accurately completes scheduling functions in scheduling application and or multiple applications if applicable, by filling out appropriate information (contrast, fluoroscopy, technical modifiers, pregnancy status, drug allergies, Radiologist, RN needed etc.) Provides patient with prep procedure education and reassurance to include; what the procedure is, how long it is going to take, physician involvement, contrast administration, etc. Retrieves diagnostic studies, lab test, films and other relevant medical history information in order to schedule patient appropriately. Places cases in appropriate resources based on physician written order Coordinates scheduling of tests and or re scheduling of exams; by retrieving results or physician orders to support the patient progress Schedules stat orders within unit time standards and communicates with appropriate staff. Verify physicians written orders and assures appropriate clinical indications of ordered exams.
Medical terminology. Insurances, billing and collections guidelines/criteria. Local, State, and Federal regulations governing registration/billing activities including JCAHO, Title XXII, Medicare and Medi-Cal regulations. ICD-9, RVS, and CPT 4 coding. Basic computer functions. Basic utilization management. Accurately type or on-line key 35-40 wpm. Organize and prioritize work activities. Communicate/discuss personal and financial matters with patients and/or their representatives. Document effectively and concisely. Communicate effectively both verbally and in writing. 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.
Sharp HealthCare is a not-for-profit health care system based in San Diego, California, with four acute care hospitals, three specialty hospitals, three medical groups and a health plan. We provide medical services in virtually all fields of medicine, including primary care, heart care, cancer, orthopedics, women's health, rehabilitation, robotic surgery and bariatric surgery. Sharp sets the community standard for exceptional care. Sharp Grossmont Hospital and Sharp Memorial Hospital have received prestigious Magnet recognition by the American Nurses Credentialing Center for excellence in nursing practices and quality patient care. At the heart of our organization are more than 18,000 affiliated physicians, nurses, staff and volunteers who are on a journey to make health care better for our patients and their families. It's what we call The Sharp Experience – treating each person with dignity, compassion and respect, and using our clinical excellence and advanced technology to deliver the highest-quality patient care. We are dedicated to transforming the health care experience by making Sharp the best place to work, the best place to practice medicine and the best place to receive care in San Diego.