Organization:

PAMF-Palo Alto Medical Foundation PAD

Position Overview:

Performs reimbursement and analyses to ensure timely reimbursement of facility charges. Maintains files and makes sure all regulatory requirements for physician credentialing and privileging are current for applicable physicians. Ensures complete and accurate reporting to regulatory agencies. Maintains accurate patient demographics, obtains pre-authorization for patients and makes sure that all patients understand their pre-op/procedural instructions.

Job Description:

EDUCATION

• HS Diploma or equivalent education/experience

PREFERRED EXPERIENCE AS TYPICALLY ACQUIRED IN:

• 1 year of working as a Patient Service Representative.
• 1 year in related medical field with electronic medical record experience.

SKILLS AND KNOWLEDGE

• Knowledge of Health Care Finance Administration (HCFA) regulatory guidelines , insurance billing requirements, state and federal laws and regulations governing capitated, contractual and administrative write-offs, third party liabilities and bad debt.
• Maintains knowledge and performs job duties in a manner consistent with Sutter Health policies and procedures.
• Knowledge of ambulatory surgery center (ASC) regulatory guidelines, insurance billing requirements, state and federal laws.
• Ability to work independently and as a team member.
• Intermediate computer skills to include keyboarding, mouse movement and data entry skills to enter information into complex spreadsheets and electronic health records.
• Ability to effectively organize and prioritize tasks in order to complete assignments within the time allotted and maintain standard workflow.
• Ability to work with others in a flexible and cooperative manner.
• Verbal/written communication and active listening skills; including interpersonal skills and telephone communication.

Pay Range: $29.41-$36.75

The salary range for this role may vary above or below the posted range as determined by location. This range has not been adjusted for any specific geographic differential applicable by area where the position may be filled. Compensation takes into account several factors including but not limited to a candidate’s experience, education, skills, licensure and certifications, department equity, training and organizational needs. Base pay is just one piece of the total rewards program offered by Sutter Health. Eligible roles also qualify for a comprehensive benefits package.

Job Shift:

Days

Schedule:

Full Time

Shift Hours:

8

Days of the Week:

Friday, Monday, Thursday, Tuesday, Wednesday

Weekend Requirements:

None

Benefits:

Yes

Unions:

No

Position Status:

Non-Exempt

Weekly Hours:

40

Employee Status:

Regular

Number of Openings:

4

This position may regularly work, store, prepare, receive, unpack, transport, dispose of, or administer drug(s) identified as hazardous, or potentially hazardous, by the National Institute for Occupational Safety and Health (NIOSH) for purposes of USP 800.

Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.