Health Services Representative

Salary : $63,500.32 - $76,641.76 Annually

Location : San Jose Metropolitan Area, CA

Job Type : Full-Time / Part-Time

Job Number : 25-D2E-A

Department : Santa Clara Valley Health Care - Valley Medical Center

Opening Date : 01 / 09 / 2025

Closing Date : 1 / 24 / 2025 11 : 59 PM Pacific

Bargaining Unit : 02

Description

Under general supervision to perform a combination of specialized clerical tasks that may involve client registration, scheduling and interviewing, telephone screening, medical insurance eligibility and account processing for clients to either a patient care area or agency program service site throughout Santa Clara Valley Health & Hospital System.

NOTE : Applicants who meet the employment standards will be invited to take an online examination tentatively scheduled for the week of February 16, 2025.

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Learn more about Santa Clara Health System at :

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Typical Tasks

Positions may perform any of the following tasks, depending on the area of assignment. No single position will encompass all the tasks listed, nor is the list below exhaustive.)

• Interviews clients to obtain personal and financial data and to determine ability to pay for hospital and / or medical services or program eligibility;
• May suggest alternative services, programs or additional insurance coverage available to clients for a variety of Federal, State, and County programs, including Medi-Cal, Medicare and special programs;
• Prepares insurance billing forms including Medi-Care and Medi-Cal;
• Prepares medical admission packets and medical record file setup including all required departmental forms, releases, and identifying labels;
• Queries and inputs registration and billing information in the computer and reverts to manual system on stat admissions and / or computer down time;
• Prepares necessary documents for emergency medical admissions;
• Uses cardwriter / imprinter to prepare identification cards for billing purposes, issues receipts, and may use a variety of office equipment;
• Answers telephones and responds to inquiries regarding emergency medical treatments;
• Refers callers appropriately according to their needs; refers all medical information and advice calls to the telephone advice nurse or clinic RN and processes messages for providers / nursing staff as needed;
• Assists clients with completion of forms and paperwork;
• Maintains a back up log book of admissions;
• Deals with law enforcement agencies and ambulance personnel regarding emergency admissions;
• Notifies relatives of emergency ambulance admittance;
• May follow through to obtain necessary information when client is unable to respond;
• Provides information to the public or to staff that requires the use of judgment and the application and interpretation of policies, rules or procedures;
• Arranges for transportation of patients via Taxi, Medicar, Hospital Transportation Service, Outreach or in emergency situations, with ambulance services;
• May estimate cost of certain medical services, arrange payment plan, and collect payments for medical services rendered;
• Schedules appointments for a variety of medical clinics, either by telephone or in person utilizing a computerized patient registration system;
• Maintains appointment books for a variety of medical clinics;
• Advises clients of specialty clinics, billing procedures and diagnostic procedures;
• Telephones clients to remind them of future appointments;
• Maintains and updates patient location;
• Classifies and codes diagnoses on clients' charge documents to ensure reimbursement for medical services;
• Classifies and codes a wide variety of diseases or medical condition according to the International Classification of Disease Standards;
• Maintains files, indexes and manuals on International Classification of Diseases;
• Posts medical statistics to daily log and compile reports on a regular basis;
• Reviews charge documents for compliance with policies and regulations;
• Prepares charge documents for batching and maintaining a log;
• Researches raw data or computer output to correct errors in registration, admission or billing entries or statistics;
• Assists in training and orienting new clerical and professional medical staff in the procedures of the unit;
• Performs other related duties as required.

Employment Standards

Demonstrated education, training and work experience in a medical services setting which has provided an opportunity to perform a variety of moderately difficult medical office clerical tasks and an opportunity to acquire the following :

Experience Note : A qualified candidate would typically acquire the knowledge and abilities listed below by having one (1) year of work experience in a medical setting or agency program service site that required the use of medical terminology and direct contact with clients in a clinic, program service site or similar medical office setting.

Completion of a recognized medical assistant program can be substituted for six (6) months of the above work experience.

Knowledge of :

Ability to :

The County offers comprehensive first-class medical, dental, and vision benefits plans for County employees and their dependents, including plans with no deductibles, no co-pays, no co-insurance, and no prescription drug co-pays. Learn more

The County also offers generous paid time off with significant vacation, sick time, and 13 paid County holidays annually! Details are included in the with the bargaining unit applicable to the job classification.

In addition to the amazing perks above, the County also offers the additional benefits below.

Retirement Benefits

The County offers robust retirement plans including a (similar to the private sector's 401(k) plan) and the In addition to lifetime retirement income available through the CalPERS pension plan, the 457(b) Deferred Compensation plan provides a great way to save for retirement and supplement the defined benefit pension available to employees. These plans help our employees build a plan for their future and contribute to their family's long-term financial well-being.

Health Flexible Spending Account

The empowers employees to manage healthcare expenses efficiently with tax-free contributions (up to $3,200 for the 2024 calendar year). Secure tax-free solutions for your healthcare expenses and enjoy the flexibility to manage your healthcare finances effectively with the HFSA.

Dependent Care Assistance Program (DCAP)

The enables employees to utilize tax-free funds for dependent care services, facilitating a convenient and cost-effective approach for managing your dependent care expenses. The County also offers the , an employer-funded DCAP, for employees with annual income under $120,000.

Life and AD&D

The County offers life and disability benefits including , Insurance, These benefits ensure financial security and income support when you and your family need it most.

Employee Assistance Program (EAP)

The County prioritizes employee mental health and well-being and offers a top-tier through Concern providing confidential counseling sessions covering stress, anxiety, relationships, grief, as well as financial / legal services, personal coaching, child and elder care referrals, and comprehensive crisis support.

Employee Wellness

The offers free wellness programing, fitness classes and resources; including Elevate My Wellness an all-in-one platform designed to elevate your well-being journey.

Education Reimbursement

A generous program is available, including Education Reimbursement for employees seeking additional training and professional development.

NOTE : Benefit and Retirement information may vary from bargaining unit to bargaining unit. Due to changes in State Law, current pension provisions described in the union contracts are not automatically applied. Specific pension benefits for new hires who start on or after January 1, 2013 may be different than indicated in the union contracts.

Click here to access all Memoranda of Understanding and most recent Summary of Changes.

Please answer the following questions. Completion of the following supplemental questions is REQUIRED for your application and is an integral part of the evaluation process. Initially, it will be used to evaluate against the employment standards. For those applicants meeting the employment standards, this information will be critical in the subsequent competitive assessment to identify those candidates to be invited to continue in the examination process. Your responses to the questions may also be reviewed and scored in a Competitive Rating evaluation process based on pre-determined rating criteria. Your answers should be as complete as possible, as no additional information will be accepted from applicants once the Competitive Rating evaluation has begun. Please include the name of employer, job title, dates of employment and number of hours worked per week for questions asking about your experience. A response of "see resume" or "see application" will deem your application incomplete. Vague, incomplete or non-responsive answers could result in no or low scores in a competitive rating process. Do you understand this requirement?

How many years of experience do you possess working in a medical services setting which has provided an opportunity to perform a variety of moderately difficult medical office clerical tasks?

Please describe your experience working in a medical services setting which has provided an opportunity to perform a variety of moderately difficult medical office clerical tasks. Please include the name of the employer, job title, job duties, dates of employment, and the number of hours worked per week. If you do not have any write "none."

How much work experience do you possess in a medical setting or agency program service site that required the use of medical terminology and direct contact with clients in a clinic, program service site or similar medical office setting?

Please describe your experience working in a medical setting or agency program service site that required the use of medical terminology and direct contact with clients in a clinic, program service site or similar medical office setting. Please include the name of the employer, job title, job duties, dates of employment, and the number of hours worked per week. If you do not have any write "none."

Have you completed a recognized medical assistant program?

If you answered yes please list your medical assistant certification, where it was obtained, and the expiration date. If you do not have any write "none."

Do you have experience explaining or interpreting insurance guidelines, and conducting insurance verifications or eligibility?

If yes, please describe your experience explaining or interpreting insurance guidelines, and conducting insurance verifications or eligiblity. Please include the name of employer, job title, job duties, dates of employment and number of hours worked per week. If you do not have any write "none."

Do you have experience interviewing clients to obtain personal and financial data, and / or to determine the ability to pay for hospital, and / or medical services, insurance or program eligibility?

If yes, please describe your experience interviewing clients to obtain personal and financial data, and / or to determine ability to pay for hospital, and / or medical services, insurance or program eligibility. Please include the name of employer, job title, job duties, dates of employment and number of hours worked per week. If you do not have any write "none."

How many years of customer service experience do you possess?

Describe your customer service experience in detail. Please include the name of employer, job title, job duties, dates of employment and number of hours worked per week. Please include if your experience was over the phone, face to face, etc.. If you do not have any write "none."

Please select all of the programs / procedures / systems that you have experience using :

Describe your experience in each program / system that you selected in the previous question. Include the name of the program / system, name of employer(s), job title(s), dates of employment, the number of hours worked per week, job duties performed. If you do not have any write "none."

Do you have experience scheduling radiology procedures such as Nuclear Medicine, Ultrasound, CT, MRI, or X-ray.?

Do you have experience working in a call center or a medical call center?

Describe your experience working in a call center or medical call center in detail. Include the size of the call center, the average number of calls you received a day and describe the work you did. Include the name of the employer, job title, job duties, dates of employment, and the number of hours worked per week. If you do not have any write "none."

Some positions may require you to work in a locked facility. Are you willing to perform this task (i.e. jail or psychiatric facility)?

Please complete this survey carefully. Your responses will determine whether or not you will be referred for a specific position (i.e., geographical location). Please place a mark next to the location(s) in which you would be willing to work.

How did you find out about this job?

If you selected an event / fair or other in the question above, please specify. If not, type n / a.

Required Question

Salary : $63,500 - $76,642