Health Services Representative

1 week ago

San Jose, United States The County of Santa Clara Full time

**Salary**
- $60,854.56 - $73,446.88 Annually**Location**
- San Jose Metropolitan Area, CA**Job Type**
- Full-Time/Part-Time**Job Number**
- 24-D2E-A**Department**
- Santa Clara Valley Medical Center**Opening Date**
- 04/23/2024**Closing Date**
- 5/7/2024 11:59 PM Pacific**Bargaining Unit**
- 02**Description**:
Under general supervision to perform a combination of specialized clerical tasks that may involve client registration, scheduling and interviewing, telephone screening, medical insurance eligibility and account processing for clients to either a patient care area or agency program service site throughout Santa Clara Valley Health & Hospital System.

**NOTE**: Applicants who meet the employment standards will be invited to take an online examination tentatively scheduled for the week of May 13, 2024.**

Learn more about Santa Clara Health System at:

- scvmc.org, och.sccgov.org, slrh.sccgov.org- **Typical Tasks**:
(Positions may perform any of the following tasks, depending on the area of assignment. No single position will encompass all the tasks listed, nor is the list below exhaustive.)
- Interviews clients to obtain personal and financial data and to determine ability to pay for hospital and/or medical services or program eligibility;
- May suggest alternative services, programs or additional insurance coverage available to clients for a variety of Federal, State, and County programs, including Medi-Cal, Medicare and special programs;
- Prepares insurance billing forms including Medi-Care and Medi-Cal;
- Prepares medical admission packets and medical record file setup including all required departmental forms, releases, and identifying labels;
- Queries and inputs registration and billing information in the computer and reverts to manual system on stat admissions and/or computer down time;
- Prepares necessary documents for emergency medical admissions;
- Uses cardwriter/imprinter to prepare identification cards for billing purposes, issues receipts, and may use a variety of office equipment;
- Answers telephones and responds to inquiries regarding emergency medical treatments;
- Refers callers appropriately according to their needs; refers all medical information and advice calls to the telephone advice nurse or clinic RN and processes messages for providers/nursing staff as needed;
- Assists clients with completion of forms and paperwork;
- Maintains a back up log book of admissions;
- Deals with law enforcement agencies and ambulance personnel regarding emergency admissions;
- Notifies relatives of emergency ambulance admittance;
- May follow through to obtain necessary information when client is unable to respond;
- Arranges for transportation of patients via Taxi, Medicar, Hospital Transportation Service, Outreach or in emergency situations, with ambulance services;
- May estimate cost of certain medical services, arrange payment plan, and collect payments for medical services rendered;
- Schedules appointments for a variety of medical clinics, either by telephone or in person utilizing a computerized patient registration system;
- Maintains appointment books for a variety of medical clinics;
- Advises clients of specialty clinics, billing procedures and diagnostic procedures;
- Telephones clients to remind them of future appointments;
- Maintains and updates patient location;
- Classifies and codes diagnoses on clients' charge documents to ensure reimbursement for medical services;
- Classifies and codes a wide variety of diseases or medical condition according to the International Classification of Disease Standards;
- Maintains files, indexes and manuals on International Classification of Diseases;
- Posts medical statistics to daily log and compile reports on a regular basis;
- Reviews charge documents for compliance with policies and regulations;
- Prepares charge documents for batching and maintaining a log;
- Researches raw data or computer output to correct errors in registration, admission or billing entries or statistics;
- Assists in training and orienting new clerical and professional medical staff in the procedures of the unit;
- Performs other related duties as required.

**Employment Standards**:
Demonstrated education, training and work experience in a medical services setting which has provided an opportunity to perform a variety of moderately difficult medical office clerical tasks and an opportunity to acquire the following:
Completion of a recognized medical assistant program can be substituted for six (6) months of the above work experience.

**Knowledge of**:

- Basic office practices and procedures including reception, filing and the operation of standard office equipment;
- General medical terminology;
- Interviewing techniques;
- Telephone courtesy;
- Basic policies and procedures related to medical client services, for processing insurance claims and/or billing charges;
- Modern office practices and procedures including basic computer skills;
- Hospital admitting pra

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