Business Service Representative Clinic - MFM Diagnostics Metro - Day Shift - Full Time

300 Sharp HealthCare; United States; On-site; USD 36,000 - 48,000; Full time

Job summary

Sharp HealthCare in San Diego seeks a Patient Access/Front Desk professional to manage patient demographics, financial validation, scheduling, and regulatory forms.

The role involves EMR data entry, guarantor verification, and helping patients complete forms while serving as the first contact point for patients and families. Strong communication and privacy practices are essential, with a focus on timely service and team collaboration.

Qualifications

• H.S. Diploma or Equivalent.
• 2 Years experience in Business Office, Medical Insurance Billing or Scheduling Systems.
• Coursework in medical terminology (preferred).

Responsibilities

• Register patients accurately following department guidelines, verify identity, and collect required consent and forms.
• Validate financial guarantor information and provide good faith estimates where applicable.
• Schedule patient appointments with correct service type, provider, location, and updated contact details.
• Deliver excellent customer service using AIDET framework and protect patient privacy in all interactions.
• Support other department duties and assist in training new team members.

Skills

Patient Registration

Financial Validation

Scheduling

Customer Service

AIDET communication

Education

H.S. Diploma or Equivalent

2 Years Medical Office/Insurance Billing or Scheduling Systems Experience

Job description

Hours

Hours: Shift Start Time: Variable Shift End Time: Variable AWS Hours Requirement: 8/40 - 8 Hour Shift Additional Shift Information: possible saturdays ; start time between 7:30 and end time 5pm Weekend Requirements: As Needed On-Call Required: No

Hourly Pay Range

Hourly Pay Range (Minimum - Midpoint - Maximum): $26.120 - $31.340 - $35.100 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

This position involves a variety of tasks related to patient demographic management, financial coverage, scheduling, and explaining regulatory forms.

Working within the clinic Electronic Medical Record (EMR) system, this position will gather and input patient data such as age, gender, and contact information, validate visit details such as reason for the visit, and ensure a financial guarantor validation.

Additionally, the position will assist the patient with completing regulatory and clinical forms and schedule follow-up appointments.

The position serves as the front desk first impression and interface, where it is essential to resolve issues promptly, adapt communication to the customer needs, and include appropriate parties when necessary.

Required Qualifications

H.S. Diploma or Equivalent 2 Years experience in Business Office, Medical Insurance Billing or Scheduling Systems.

Preferred Qualifications

Other : Coursework in medical terminology.

Essential Functions

• Patient Registration Accurately completes arrival and registration functions. This includes following Sharp Healthcare guidelines with scripting, minimum two patient identifiers, and/or picture identification to validate accurate EMR is checked in. If a duplicate registration is suspected, mark patients for merge in EMR. If an overlap is identified, create new patient for check-in and submit a chart correction in EMR. For both new patient and established patient check-in, all checklist fields should be validated or noted as to why incomplete. A complete registration includes all questions and not just those in the checklist. Present and provide explanation of regulatory forms and secure signatures on documents such as Conditions of Registration (COR), Notice of Privacy Practice (NPP), Advance Directives (ADHC), No Surprises Act (NSA), and/or Good Faith Estimates (GFE), etc.
• Financial Validation At or before check-in, confirm financial guarantor listed is valid and authorization for date of service is in place. As needed, initiate validation electronically or by direct contact with insurance. Provide patient with good faith estimate as appropriate and collect amount owed following guidelines. If patient does not have insurance, follow self-pay guidelines. Communicate financial concerns to patients with solutions and elevate concerns about financial issues to leadership as appropriate.
• Scheduling Schedule patient appointments following department guidelines. Prioritize appointments as directed by clinician. Engage patient by identifying available times and work to find best time. Accurate appointments include correct service type, resource, provider, location and includes validating patient contact numbers are up to date. Places appointment confirmation calls following department standards.
• Customer Service Use AIDET, key words at key times, on-stage behavior to contribute to excellent patient satisfaction. Displays empathy with patients under stressful situations and with frequent interruptions. Adapt and protect patient privacy as needed (i.e. lowering voice, using face sheets vs verbal interviews depending on workstation setting). Avoids jargon when communicating with patients. 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. Promotes a team approach in completion of department duties. Perform service recovery when The Sharp Experience does not go right in accordance with Sharp’s Everyday Actions. Communicates effectively both orally and in writing sufficient to perform essential job functions. Contribute to team huddles and meetings suggesting ideas and solutions as appropriate. Ability to problem-solve, work independently, and identify solutions even when no specific guideline is in place.

Other Duties and Reports

• Maintains department productivity levels. Prioritize job responsibilities effectively and elevate issues if backlogged or slow volumes. Assist other areas when productivity volumes are low. Provide clinic support as assigned and directed by leadership. Provide training and mentoring to new team members as directed. Encourage patient sign up and utilization of MySharp app and/or use of kiosk as appropriate. Maintains up-to-date knowledge on new insurance plans and other information provided by Patient Access and Financial Services.

Knowledge, Skills, and Abilities

• Ability to utilize resources in an organized manner. General knowledge of office procedures. Effective interpersonal and customer relations skills. Strong professional level of written and oral communication skills. Ability to diffuse volatile situations and use good judgment and tact in dealing with patients. Bilingual preferred. ICD-9 coding, RVS coding and CPT coding a plus Accurate and efficient typing skills and general understanding of electronic records.

Equal Opportunity

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

Company Overview

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.