Patient Service Specialist – Admitting/Access – La Jolla
Facility: Scripps La Jolla Hospital
Location: La Jolla, CA
Career Area: Business Office
Employment Type: Full Time
Shift: Day
Job ID: 252002302
Let’s Get Started
Scripps Memorial Hospital La Jolla has served the greater San Diego community since 1924. For more than a century, we continue to provide distinguished care, including several nationally ranked specialty programs. Scripps La Jolla was the first in San Diego to be designated a Magnet Hospital by the American Nursing Association.
Scripps La Jolla shares a campus with the Barbey Family Emergency and Trauma Center, a Level I Trauma Center, and the renowned Prebys Cardiovascular Institute. We’re also home to notable specialty programs, including cancer care, heart surgery, orthopedic surgery, labor and delivery services (including a Level III neonatal intensive care unit) and a nationally designated Comprehensive Stroke Center.
Job Description
This is a Full Time position (80 hours per pay period) with a varied day shift schedule located at our Scripps Memorial Hospital La Jolla. You will enjoy comprehensive benefits that cover health & wellness, career development, and retirement options among other benefits.
Join a caring team supporting Scripps Memorial Hospital La Jolla as a Patient Service Specialist in the Patient Financial Services/Access & Admitting department. You’ll be on the front line for creating a positive Scripps Health experience for our patients while being responsible for duties such as the following:
- Interacting with patients, payers, and providers to gather information necessary for accurate registration including assigning of appropriate Medical Record Number, referral/authorization, point of service payment collection, document collection and arrival/check-in functions.
- Receiving and routing messages received in the department appropriately as well as manages customer billing and payment inquires as needed.
- Effectively managing 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; verifying coverage including benefits, authorization, pre-determination, payer specific policy exclusions or limitations to coverage, collecting any patient responsibility and accurately preparing end of day reporting or payment reconciliation as needed.
- Assisting patients with HPE eligibility, discussing payment arrangement options including financial assistance information, providing price estimates.
- Regularly displaying a proactive approach to customer service by listening to the patient, taking ownership of solutions and being able to accurately identify the need to involve leadership to resolve concerns.
- Acting as a member of the patient care team by supporting the clinical care staff in the care of the patient.
Required Qualifications:
- 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.
- Able to adapt, prioritize and meet deadlines.
Preferred Qualifications:
- 2 years of experience in customer service or healthcare/medical office environment.
- 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.
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.
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