Senior Patient Business Clerk

1 month ago

Santa Clara, United States County of Santa Clara (CA) Full time

Under general supervision, to provide lead supervision of a clerical staff performing a variety of work related to the maintenance of patient accounts either through billing activity or through accounts receivable and collection related activity, and to perform the more difficult work of the unit.

 

Learn more about Santa Clara Health System at:

scvmc.org, och.sccgov.org, slrh.sccgov.org 

Twitter I @scvmctalent 

Facebook I facebook.com/SCVMC 

LinkedIn | linkedin.com/scvmc

* Provides lead supervision in a patient accounts clerical unit performing billing, accounts receivable, or collection related work;

 
* Screens and distributes incoming work;

 
* Monitors and maintains work flow, production, and conformance to standards;

 
* Confers with the supervisor regarding work flow, production, and standards;

 
* Answers questions pertaining to work procedures or difficult cases;

 
* Trains and guides new employees;

 
* Informs and updates employees on new or revised regulations and procedures;

 
* Identifies and recommends process improvements for area of responsibility;

 
* Reads and interprets information for insurance eligibility to ensure that a correct payment source is identified for reimbursement;

 
* Assists the supervisor in assessing the progress of employees;

 
* Works with peers and supervisor in developing and implementing new or revised clerical procedures;

 
* Performs the more technically difficult or complicated billing, accounts receivable, or collections work of the unit, including preparing spread sheets on more difficult accounts;

 
* Compiles weekly/monthly statistical production and work flow reports;

 
* Attends department meetings for supervisors and leads;

 
* Acts as liaison and resource person with other units, hospital departments, insurance or program agencies, and county departments relative to the work of the unit;

 
* May assist the supervisor in interviewing job candidates and provide recommendations;

 
* May act as liaison between the unit and County Counsel's office on matters involving legal questions;

 
* May be assigned as a Disaster Service Worker, as required;

 
* Performs other related duties, as required.

Sufficient education, training, and experience to demonstrate the possession and direct application of the following knowledge and abilities:

 

Training and Experience Note: The knowledge and abilities required to perform this function are attained through two (2) years of experience performing clerical billing, accounts receivable, or collection related work in a hospital or health care delivery agency.

 

Knowledge of:

* Principles and practices of effective communication;

 
* Group coordination techniques and principles;

 
* Modern office administrative practices and procedures, including computer skills;

 
* Standard hospital services and organization;

 
* Principles and practices of customer service and telephone courtesy;

 
* Insurance claim procedures common to medical billing, accounts receivable, and collection operations, and medical terminology related thereto;

 
* Purpose and use of International Classification of Disease Standards;

 
* Purpose and use of the Concurrent Procedure Terminology;

 
* Modern patient accounts receivable records maintenance procedures;

 
* Procedures related to billing, accounts receivable, and collection activities;

 
* Technical details involved in the complete registration and/or reimbursement process;

 
* Legal requirements of Federal, State, and SCVMC policies and procedures related to billing and collection activity and the release of confidential patient information.

 

Ability to:

* Assign, review, and guide the day-to-day work of a clerical staff performing medical billing, accounts receivable, and/or collection activities;

 
* Plan and revise the workloads and assist the supervisor in planning and revising the workloads;

 
* Provide day-to-day training and evaluate the work performance of subordinates;

 
* Operate a ten-key adding machine or calculator;

 
* Perform moderately difficult arithmetical computations;

 
* Interview for the purpose of gathering adequate and precise information;

 
* Compile statistics on work flow and production and write concise summaries;

 
* Maintain accurate billing and accounts receivable records;

 
* Type with moderate speed and accuracy;

 
* Research, explicate, and prepare spread sheets on complex patient accounts;

 
* Communicate effectively with peers, subordinates, the public, attorneys, managers, and outside agencies;

 
* Establish and maintain effective working relationships with all levels of medical, professional, administrative and support personnel contacted in the course of work.

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