Public Resource and Financial Counselor-self Pay

3 weeks ago

San Diego, United States Sharp Healthcare Full time

[Driver's License - CA Department of Motor Vehicles; California Notary Public - California Secretary of State; H.S. Diploma or Equivalent
**Hours**

**Shift Start Time**:
9 AM
**Shift End Time**:
5:30 PM
**Additional Shift Information**:
**Weekend Requirements**:
As Needed
**On-Call Required**:
No

**Hourly Pay Range (Minimum - Midpoint - Maximum)**:
$24.091 - $30.113 - $36.136

**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. Determine and educate the patient of their financial liabilities, collect any amounts owed, and oversee the financial investigation to identify payment sources and possible alternatives.

**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.
Manages patient expectations for assistance through effective communication and interaction.
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.
Utilizes electronic databases to identify a patient's projected out of pocket responsibility.
- 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.
- Patient Services
Determine the patient's financial liabilities.
Works collaboratively with PAS Payor Focus Department to determine insurance benefits.
- Database and Record Management
Utilizes databases managed by the Department of Health and Human Services and/or Department of HealthCare Services.
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
Liaison between patient and public resource program staff.
Maintains knowledge of Sharp contracts to include but not limited to PPO, HMO, and State Health Insurance Exchange qualified health plans.
Provides direction and assistance to all self-pay portions of the patient's receivables.
Maintains knowledge of Federal Poverty Limits.
Maintains knowledge of Fair Debt Credit Protection Act, Sharp Healthcare Financial Assistance Programs, Payment Options, and discount policies.
Presents the patient with the best option for their situation.
Works with the manager to determine other payment/discount options on a case-by-case basis.

**Knowledge, Skills, and Abilities**
- Strong knowledge of Federal, State and 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

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