Public Resource Specialist - PAS Self Pay Rev Cycle - Sharp Chula Vista - Day Shift - Per Diem

300 Sharp HealthCare; Chula Vista (CA); On-site; USD 40,000 - 55,000; Full time

Job summary

Sharp HealthCare in California seeks a dedicated Enrollment Counselor to assess financial needs and help patients access public, private, and governmental funding programs.

You will collaborate with physicians, social workers, and case managers to complete applications for programs like MediCal, Medicaid, CMS, CMSP, SSI-Disability, COBRA and related plans, while educating patients about their options and ensuring timely processing of documents.

Qualifications

• Must have CA Driver's License.
• Notary Public preferred.
• Experience in a health care system revenue cycle is a plus.

Responsibilities

• Provide direction and assistance to patients requesting financial assistance.
• Complete applications and supporting documents for programs such as MediCal, Medicaid, CMS, CMSP, SSI-Disability, COBRA, and Health Care Exchange Qualified Plan Enrollment.
• Identify unfunded admissions and conduct face-to-face interviews within 24 hours of admission.
• Communicate effectively to manage patient expectations and outcomes.
• Perform field visits to support the public resource application process.

Skills

Financial analysis

Patient education

Collaboration with physicians

Education

H.S. Diploma or Equivalent

Tools

GE/Centricity HPA

Job description

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: As Needed On-Call Required: No Hourly Pay Range (Minimum - Midpoint - Maximum): $28.740 - $35.930 - $40.240 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

• Perform in depth financial analysis of individual's financial status for the purpose of evaluating the individual's eligibility for public funding.
• Assist the underinsured and uninsured patients in securing governmental, commercial and or private funding to cover healthcare costs.
• Works in collaboration with physicians, social workers, and case managers with discharge planning needs.
• Educates patients on healthcare options and resources.

Required Qualifications

• Driver's License - CA Department of Motor Vehicles -REQUIRED

Preferred Qualifications

• H.S. Diploma or Equivalent 3 Years experience in a health care system revenue cycle. Previous social work or case management experience. California Notary Public - California Secretary of State -PREFERRED

Other Qualification Requirements

• Covered CA Enrollment Counselor certification preferred. Utilizes reliable transportation and possesses adequate personal insurance coverage. Demonstrates clean driving record in accordance with requirements of the employer DMV pull notice program and Sharp HealthCare Driver Guidelines.

Essential Functions

Client services

• Provides direction and assistance to patients requesting financial assistance.
• Demonstrates content expertise by completing applications & supporting documents for programs including but not limited to: MediCal, Medicaid, CMS, CMSP, SSI-Disability, Victim of Crimes Compensations, COBRA, and Health Care Exchange Qualified Plan Enrollment.
• Identifies all unfunded admissions and completes face to face interview and application within 24 hours of admission.
• Manages patient's expectations for assistance through effective communication and interaction.
• Performs field visits in support of the public resource application process.
• Receives a listing of locations to be visited from the Self Pay Rev Cycle Team Lead.
• Plans their daily route based on level of urgency and geographic location.
• Completes the objective listed and reports back results.
• Uses technology in the field to provide timely update and improve efficiencies.
• Ensures PHI being transported is safe by adhering to departmental guidelines.
• Reports mileage and expense reports daily.
• Ensures responsibility utilization of organization resources and technology including: mobile telephone device and/or laptop.

Collaboration and communication

• Ensures 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.

Database and record management

• Utilizes databases managed by the Department of Health & Human Services and/or Department of HealthCare Services.
• 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.
• Submits supporting documentation timely (within 24 hours) to appropriate public program.

Problem resolution

• Works in partnership with County assigned Health and Human Services Representative (HHS) to ensure timely processing and determination of all submitted applications.
• Performs a thorough follow up process on all submitted applications as required such as: identify cases for appeal opportunity, prepare appeal paperwork with patient, attend hearings; ensuring attainment of healthcare coverage and or referral to Financial Counselor.
• Liaison between patient and public resource program staff.
• Works with hospital Social Work & Case Management departments to safely discharge patients by ensuring the public resource application process is on track.
• Uses effective interviewing skills to elicit patient application for funding information.

Knowledge, Skills, and Abilities

• Strong knowledge of Federal, State & County Programs preferred.
• 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.