
Website Sutter Health
Job Description:
Serving the residents of southern Solano County, including the communities of Vallejo, Benicia and American Canyon, Sutter Solano Medical Center offers 111 licensed beds and delivers a wide range of technologically advanced inpatient and outpatient services. These include 24-hour emergency services, critical and transitional care, surgery, diagnostic imaging, cardiac, obstetrics and physical, occupational and speech therapy. The recent renovation of its Family Birthing Center and new Implant Program to Treat Prostate Cancer are examples of Sutter Solano’s dedication to serving growing community needs.
The Financial Counselor/Scheduler is responsible for scheduling appointments for various hospital departments. Assures patients have all the information they need by discussing the clinical information, and informs the patient of financial obligations at the time of admission, so that they will arrive on time and prepared for their procedures. Received request to schedule procedures from various customers. Schedules the procedure according to the availability of the department. The Financial Counselor/Scheduler performs the quality control function for scheduled procedures and emergency accounts ensuring all pertinent information is available and accurately documented, allowing for timely and efficient billing. These activities include generating weekly status reports, communication with multiple departments, monitoring accounts for proper documentation of third-party review notification, authorizations, insurance verifications, collection of deposits and self-pay balances, securing reimbursement methods for non-insured admits, computer update on accounts, and the collection and verification of relevant patient data.
Job Requirements:
- Education: High school diploma or equivalent, plus medical terminology training or equivalent experience is required. Additional medical training preferred.
- Experience: Previous experience in insurance billing, including Medicare, Medi-Cal, HMO/PPO, Workman Compensation, and TPL, in a hospital, medical office or clinic, preferred. Experience in appointment scheduling in a hospital, medical office or clinic required. Demonstrated experience in serving customer needs to a diverse public, required. Registration experience in a hospital, medical office or clinic preferred. Prior work experience operating a CRT, and other office equipment is required.
- Knowledge: Working knowledge of all hospital patient accounting functions, including pre-admissions, hospital appointment scheduling, and registration. Demonstrated understanding of need for compliance with coding guidelines, policies and/or procedures. Demonstrated understanding of basic medical terminology and limited diagnosis information. Previous knowledge and understanding of the third-party review process. Understanding of payor funding and authorization procedures to ensure payment. Understanding of government/state payors, including eligibility factors. Basic knowledge of medical and insurance terminology is required.
- Special Skills/ Equipment: Ability to interpret billing manuals and insurance/third-party coverage. Type 25 wpm; proficient in the use of CRT, fax machines, multi-line phone systems, and 10-key calculator by touch; excellent interpersonal and telephone skills, must demonstrate effective written and verbal communication skills, must possess patient interview techniques. Ability to prioritize workload and possess ability to meet tight time frames. Ability to work under minimal supervision, be detail oriented, and possess problem solving skills.
Job Details:
Company: Sutter Health
Vacancy Type: Part Time
Job Location: Vallejo, CA, US
Application Deadline: N/A
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