Patient Account Specialist - Billing in San Diego, CA at Scripps Corporate Offices

Date Posted: 7/25/2019

Job Snapshot

Job Description

At Scripps Health, you will experience the pride, support, respect that has been repeatedly recognized as one of the nation’s Top 100 Places to Work.

You’ll be surrounded by people committed to making a difference in the lives of their patients and their teammates. So if you’re open to change, go ahead and unlock your potential.

The Patient Account Specialist will be supporting the Billing Services department at our 4S Ranch location. This role is essential in managing a high volume of Government Insurance/Billing documents, while also performing follow up actions in order to gather accurate information needed from patients, payers and providers. The ideal candidate is one who thrives in a fast paced environment and has a passion for insurance and medical claims. As a Patient Account Specialist you will be responsible for the following:
  • Manage a variety of billing and follow-up tasks related to claims processing.
  • Contact responsible parties to resolve past-due accounts, investigate account status and initiate collection.
  • Submit claims and follows up with payers to account resolution
  • Identify problem accounts with payers, investigates and corrects errors, follows up on missing account information, and unpaid and denied claims
  • Works 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, and maintains and protects confidential information
  • Provides excellent customer service through cooperative working relationships, and meets productivity and quality standards.
This is a Full Time position and is located at our 4S Ranch Location. Flexible start time between 5:30am – 9:00am (after training completed)

Job Requirements

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. Detail oriented and ability to prioritize work.
  • Requires 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:
  • 2 years of patient accounts experience in a healthcare setting preferred.
  • Previous Government and/or Commercial health Insurance experience preferred
  • Previous billing, follow-up, and claims processing experience preferred
  • Able to adapt, prioritize and meet deadlines.
  • Knowledge of medical terminology, commercial and government health insurance and billing guidelines, ACA requirements, HIPAA, understanding of DRG's, Medical ICD9/ICD10 codes and CPT/HCPC Codes and Modifiers.
Scripps Health is repeatedly named on the Fortune Magazine’s 100 Best Companies to work for, the only San Diego-based company and Becker’s Healthcare Top Hospitals. Scripps Health offers a robust Total Rewards Program designed to compensate and motivate you throughout your career. Scripps Health Total Rewards Program includes a broad range of plans and programs including market competitive pay and performance incentives, health and wellness benefits, financial wellness benefits, work-life resources, learning and development opportunities, and rewards and recognition. Unlock your potential with Scripps Health today.

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.