Organization:

PAMF-Palo Alto Medical Foundation CAD

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 General Education Diploma (GED)

TYPICAL EXPERIENCE:

1 year recent relevant 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.

Job Shift:

Days

Schedule:

Full Time

Shift Hours:

8

Days of the Week:

Monday - Friday

Weekend Requirements:

None

Benefits:

Yes

Unions:

No

Position Status:

Non-Exempt

Weekly Hours:

40

Employee Status:

Regular

Number of Openings:

1

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

Pay Range is $30.30 to $37.86 / 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.

All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, marital status, sexual orientation, registered domestic partner status, sex, gender, gender identity or expression, ancestry, national origin (including possession of a driver's license issued to individuals who did not present proof of authorized presence in the U.S.), age, medical condition, physical or mental disability, military or protected veteran status, political affiliation, pregnancy or perceived pregnancy, childbirth, breastfeeding or related medical condition, genetic information or any other characteristic made unlawful by local, state, or federal law, ordinance or regulation. External hires must pass a background check/drug screening. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state, and local laws, including but not limited to the San Francisco Fair Chance Ordinance.