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Sutter Health Plan

Patient Services Lead

Sutter Health Plan, San Francisco, California, United States, 94199

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Organization

SPMF-Sutter Pacific Medical Foundation - South

Position Overview

Supports, organizes and coordinates the overall operation of Patient Services, including staffing and work assignments of patient services representatives, assistants and interns. Supports updates to policies, procedures and protocols to streamline workflow, improve efficiency, and strengthen quality assurance. Ensures the timely delivery of services to patients and oversees the efficient operation of the department. Serves as the liaison between Patient Services and staff, physicians, patients, family and other employees. Ensures services are provided in a manner consistent with best practices, accreditation standards and State and Federal regulations. Adheres to all organizational, local/state/federal regulations, codes, policies and procedures to ensure privacy and safety while delivering patient care. This role is intended for use by employees employed by an outpatient facility.

Job Description

PATIENT SERVICES:

Assesses and monitors the patient services workload and assigns duties, adjusts assignments, and provides input and assistance to fellow staff. Identifies reoccurring registration errors and identifies potential solutions. Serves as the liaison between patient services other departments as required to help resolve account issues. Oversees or performs patient services or check-ins as needed. Ensures the completion of routine and priority tasks within established departmental time frames. Mentors and fosters a constructive teaching environment that helps students and new representatives build confidence in their skills, knowledge and abilities.

Clerical

Performs general clerical tasks, such as answering phones; updating patient appointments; or retrieving, entering, and revising patient Electronic Health Records (EHR). Prepares and completes accurate documentation related to patient, procedures and authenticates documentation.

Safety

Participates in quality improvement processes, including updating and revision of procedure manuals and interdisciplinary projects. Maintains a clean, neat, and safe working environment, including organizing files and keeping desks free of loose papers and clutter.

Compliance

Maintains strictest confidence of all patient protected health information (PHI) and protects all PHI from accidental, intentional, or inappropriate disclosure. Documents patient information and services provided in accordance with state and federal regulations.

Education

Equivalent experience will be accepted in lieu of the required degree or diploma.

HS Diploma or equivalent education/experience

Typical Experience

4 years of recent relevant experience.

Skills And Knowledge

Basic knowledge of insurance policies and procedures, as well as patient billing.

Ability to interpret a variety of data and instructions, furnished in written, oral, diagram, or schedule form.

Possess outstanding written and verbal communications skills to explain sensitive information clearly and professionally to diverse audiences, including non-medical people.

Time management and organizational skills, including the ability to prioritize assignments and work within standardized operating procedures and scientific methods to achieve objectives and meet deadline.

Broad knowledge of computer applications, such as Microsoft Office Suite (Word, Excel and Outlook).

Prioritize and delegate assignments and work within standardized policies, procedures, and scientific methods to achieve department objectives and meet deadlines.

Work autonomously, as well as be part of the team, including accomplishing multiple tasks in an environment with interruptions.

Identify, evaluate and resolve complex that arise with little or no precedent.

Ensure the privacy of each patient’s protected health information (PHI).

Build collaborative relationships with peers and other healthcare providers to achieve departmental and corporate objectives.

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

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

Pay Range is $32.47 to $40.59 / hour

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. Seniority level

Seniority level Mid-Senior level Employment type

Employment type Full-time Job function

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