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Lead Patient Services Representative (#RH0301)
$23.93-$29.09 Hourly / $4,147.83-$5,041.71 Monthly / $49,773.99-$60,500.60 Yearly




DEFINITION

Under general supervision, supervises and participates with staff in determining financial eligibility and resources of patients admitted to the San Joaquin General Hospital; and does related or other work as required in accordance with Rule 3, Section 3 of the Civil Service Rules.

CLASS CHARACTERISTICS

This is the working supervisor level class in the Patient Service Representative series. An employee in this class is responsible for the direct supervision of the Patient Service Representatives in the Admitting Department and performs the regular and more complex duties of this class. This incumbent acts for the Chief of the Admitting Department in the latter's absence.

TYPICAL DUTIES

  • Supervises, trains, evaluates and schedules assigned staff; assists in the selection and disciplining of staff.
  • Assists in developing unit policy and develops and implements procedures; reviews regulations, directives and standards to determine applicability; implements as needed and interprets to staff.
  • Interviews patients and relatives to obtain pre-admission information and arranges for hospital admissions.
  • Conducts patient financial evaluations to determine ability to pay hospital and medical expenses; researches and develops alternative payment sources as necessary; refers patient to appropriate agencies.
  • Evaluates, calculates and verifies Medi-Cal and other insurance coverage; prepares and completes appropriate forms.
  • Maintains inpatient contact to monitor financial coverage and arranges transfer to available programs to meet developing financial needs; arranges account settlements for discharged patients; maintains contacts with physicians and medical staff to monitor treatment charges.
  • Participates in in-service trainings; attends meetings.
  • Acts for the Chief of Admitting in the Chief's absence.

MINIMUM QUALIFICATIONS

EITHER 
Experience: One year as a Patient Service Representative in San Joaquin County. 

OR 
Experience: Three years determining patient financial eligibility and resources in a Health Care setting.

KNOWLEDGE

Principles and practices of employee supervision and training; regulations, procedures and practices of medical insurance programs and Medi-Cal; various financial resources available to dependent patients; techniques of interviewing; basic public relations practices; language mechanics; standard office and record keeping practices; basic principles of human behavior.

ABILITY

Supervise and train subordinate staff; communicate effectively orally and in writing; understand and interpret technical insurance and financial information; follow directions; establish and maintain effective working relations with a wide variety of individuals and agencies.

PHYSICAL/MENTAL REQUIREMENTS

San Joaquin County complies with the Americans with Disabilities Act (ADA) and, upon request, will consider reasonable accommodations to enable individuals with disabilities to perform essential job functions.

CLASS: RH0301; EST: 5/8/1991;