PATIENT SERVICE REPRESENTATIVE

Facility: Scripps Coastal Medical Center

Location: San Diego, CA

Career Area: Business Office

Employment Type: Full Time

Shift: Day

Job ID: 252005179

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Scripps Coastal Medical Center makes it easy and convenient for our community to receive exceptional health care in San Diego. Our primary care physicians and their teams provide annual exams, preventive health screenings, wellness information and diagnostic services for you and your family.

With offices throughout San Diego County, our doctors specialize in family medicine, internal medicine, pediatrics, and obstetrics and gynecology. Some locations also provide rheumatology and orthopedics care. When further specialty care is needed, you have access to an extensive network of medical experts throughout the region. Scripps also provides health education resources, including weight management programs, nutrition and fitness classes, and programs for chronic conditions, such as diabetes.

Job Description

Responsible for interacting with patients, payers and providers to gather information necessary for accurate registration including assigning of appropriate Medical Record Number, scheduling, referral/authorization, point of service payment collection, document collection and arrival/check-in functions. Responds to customer billing and payment inquires as needed. Effectively manages the patient check-in and check-out process from start to finish, which includes identification verification; updating or confirming demographic and insurance information on every patient; ensuring appropriate forms are provided, signed and witnessed at the time of the patient visit; collecting patient payment responsibility and accurately preparing end of day reporting or payment reconciliation as needed. Escalating billing inquiries as needed. Accurately scheduling patient appointments. Successful scheduling includes, but not limited to, exhibiting proficiency in appointment scheduling procedures, accurate documentation and routing of messages, scheduling and confirming appointments according to practice guidelines, entering appropriate insurance, performing Key User duties with minimal errors. May be responsible for initiating and validating referrals/authorizations. Regularly displays a proactive approach to customer service by listening to the patient, taking ownership of solutions and is able to accurately identify the need to involve leadership in order to resolve concerns.
Required Education/Experience/Specialized Skills:Must be able to demonstrate proficiency of computer applications, excellent mathematical skills and ability to handle monies. Excellent communication and customer service skills. Strong organizational and analytical skills; innovative with ability to identify and solve problems.

Required Certification/Registration:

Preferred Education/Experience/Specialized Skills/Certification:1 year experience customer service or healthcare/medical office environment preferred. Able to adapt, prioritize and meet deadlines. Knowledge of medical terminology, commercial and government health insurance and billing guidelines, ACA requirements, understanding of DRG’s, Medical ICD9/ICD10 codes and CPT/HCPC Codes and Modifiers.

Position Pay Range: $24.91-$31.45/hour

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 health care. 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.  Our people and their commitment to the highest standards of care are what define us.

Exterior of Scripps Mercy Hospital

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Experience an even greater sense of belonging as a member of the Scripps Talent Community. You’ll receive job alerts with new opportunities that match your interests and other relevant information that will aid your career search. You’ll even be able to share openings with friends through social media and email.

Join Our Talent Community

Experience an even greater sense of belonging as a member of the Scripps Talent Community. You’ll receive job alerts with new opportunities that match your interests and other relevant information that will aid your career search. You’ll even be able to share openings with friends through social media and email.

Awards

Certified Great Place to Work Designation
Fortune Top 100 Hospitals Award
American Heart Association 2024 Get with the Guidelines Designation for Stroke Care Gold Plus Stroke Honor Roll Elite Advanced Therapy