Providence St. Joseph Health

Job Information

St. Joseph Health / Covenant Health Patient Account Representative - Patient Finance-Area in Santa Rosa, California

We are looking for a Patient Account Representative for Patient Finance-Area Department at Santa Rosa Memorial Hospital.

Location: Santa Rosa, CA

Work Schedule: Full time - 80 Biweekly hours

Shift: 8 hour, Days

Job Summary:

Addresses all incoming inquiries from any customer; patient, insurance company, SJHS employee, whether by phone, mail or in person. Routes to other areas in PFS only those calls or documents specifically categorized as outside their scope of work. Documents all activity in the facility's legacy Patient Accounting System. Is fully familiar with Medicaid/Medi-Cal and other government programs, in order to refer patients for financial assistance. Is fully familiar with the facility's charity and payment plan options, in order to assist patient without Third Party Coverage.

Essential Functions:

  • Assists patients with billing, service and insurance questions on the phone, via email or in person.

  • Documents all calls and actions taken in the hospital computer system. Sets next work date if follow-up is needed.

  • Updates system with insurance or patient demographic corrections, Submits/resubmits claims as indicated.

  • Sets up payment plans as needed within Medical Center guidelines.

  • Screens patients for charity care as necessary and provides applications as appropriate.

  • Is familiar with Medicaid/Medi-Cal and other financial assistance programs and refers patients as appropriate.

  • Tracks and resolves patient complaints within 48 hours.

  • Assists departments within hospital as able or refers appropriately to Patient Finance Management Team Members.

  • Returns voice mail messages same day received.

  • Generates itemized bills as needed to any customer, internal or external.

  • Refers mail and phone calls of outsourced accounts to the appropriate vendor.

Skills:

  • Excellent verbal and customer service skills.

  • Windows based computer skills.

  • 10 key by touch.

  • Type minimum of 45 words per minute.

  • Basic math calculation skills.

  • Basic knowledge of medical terminology.

  • Understanding of insurance payment processes (deductible, copay, coins, etc.).

  • Preferred: Basic understanding of ICD-9, CPT-4 and HCPC coding.

  • Preferred: Bilingual – Spanish.

Minimum Position Qualifications:

Education : H.S. Diploma or GED or equivalent educ/experience

Experience : 2 years of Customer service experience in a high call volume setting.

Preferred Position Qualifications:

Experience : 1 year of Government billing/collection experience.

Providence St. Joseph Health (Providence) has worked for decades to improve health and quality of life in California's North Bay region, starting in Sonoma County, where the Sisters of St. Joseph of Orange opened the doors of Santa Rosa Memorial Hospital in 1950. Today, we continue the mission begun by the Sisters to those we serve through an integrated spectrum of primary, urgent, acute, outpatient, palliative care and regional referral services. Sonoma County facilities aligned with Providence include the 278-bed Santa Rosa Memorial Hospital, the region's only Level II trauma center. In addition, the 80-bed Petaluma Valley Hospital and 43-bed Healdsburg Hospital are secular (non-religious) affiliates of Providence. Our services also encompass three Urgent Care centers, Hospice of Petaluma, Memorial Hospice and North County Hospice, the Annadel Medical Group doing business as St. Joseph Health Medical Group, as well as the St. Joseph Home Care Network (post-acute care services). We act as a regional referral hub for outlying hospitals, while also providing outpatient behavioral health care, education to promote health and prevent chronic disease, rehabilitation, oral health care, community benefit programs, and more, all fostering health and quality of life throughout the area.

Providence provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Providence complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

Positions specified as "on call/per diem" refers to employment consisting of shifts scheduled on as "as needed basis" to fill in for staff vacancies.

Company: Sonoma County Entities

Category: Community Services

Req ID: R330668

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