Patient Account Specialist – Professional Billing Governmental Services – 4S Ranch
Facility: Scripps Health Corp
Location: San Diego, CA
Career Area: Business Office
Employment Type: Full Time
Shift: Day
Job ID: 242007265
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Scripps Health Administrative Services supports our five hospital campuses, 31 outpatient centers, clinics, emergency rooms, urgent care sites, along with our 17,000 employees, more than 3,000 affiliated physicians and 2,000 volunteers.
Job Description
This is a full-time, benefitted position located in san. The position will be onsite Monday-Friday for day shift.
Join the Scripps Health team and work alongside passionate caregivers and provide patient-centered healthcare. Receive endless appreciation while you build a rewarding career with one of the most respected healthcare organizations nationwide.
Why join Scripps Health?
AWARD-WINNING WORKPLACE:
- #5 in Fortune Best Workplaces in Health Care 2023
- #78 in 2023 PEOPLE Companies that Care
- #95 in Fortune 100 Best Companies to Work for 2023
- Nearly a quarter of our employees have been with Scripps Health for over 10 years.
The Patient Account Specialist is responsible for a variety of billing and follow-up tasks relating to claims processing; contacts responsible parties to resolve past-due accounts; investigates account status and initiates collection. Submits claims and follows up with payors to account resolution. Identifies problem accounts with payors; investigates and corrects errors, follows-up on missing account information, and appealing unpaid and denied claims. Working directly with the insurance company, healthcare provider, liable third parties and patient to get a claim processed and paid. Supports continuous improvement of organization processes and personal knowledge and skills. Maintains and protects confidential information. Provides excellent customer service through cooperative working relationships. Meets productivity and quality standards.
Required Education/Experience/Specialized Skills:
- Strong working knowledge of managed care plans, insurance carriers, government Payers and payer requirements.
- Knowledge of Medical Terminology and Medicare Compliance. Familiarity with HIPAA privacy requirements for patient information.
- Basic understanding of DRG’s, Medical ICD9/ICD10 codes and CPT/HCPC Codes.
- Ability to multitask and stay organized.
- Good verbal and written communication skills.
- Detail oriented and ability to prioritize work.
- Requires a moderate level of interpersonal, problem solving, and analytic skills.
- Knowledgeable on insurance and reimbursement process.
- Ability to establish/maintain cooperative working relationships with staff, Medical Staff and providers.
Preferred Education/Experience/Specialized Skills/Certification:
- Two years of patient accounts experience in a healthcare setting.
In compliance with the California Pay Transparency Act, Scripps Health posts the pay range for all jobs. Please note that actual pay will be determined based on relevant experience and internal equity within the pay range. Please also note this range is applicable for employees who reside in California only. A geographical pay differential may be applied for remote employees who reside out of state. Scripps Health strives to ensure that our employees receive equal pay for equal work in line with our commitment to being an equal opportunity employer.
Scripps Health is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, sexual orientation, or gender identity/expression), age, marital status, status as a protected veteran, among other things, or status as a qualified individual with disability.
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About Us
At Scripps, we seek dedicated, compassionate people to join our team and make a significant impact on the health of our community and the future of healthcare. Throughout our five hospital campuses, 30 outpatient centers and clinics, and hundreds of affiliated physician offices throughout the region, each member of our team plays a key role in our life-changing and life-saving mission. Scripps Health is the only San Diego-based company to make Fortune magazine’s 100 Best Places to Work. Our people and their commitment to the highest standards of care are what define us.
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