Public Resource Specialist – Programs & Appeals

Facility: Scripps Health Corp

Location: San Diego, CA

Career Area: Business Office

Employment Type: Full Time

Shift: Day

Job ID: 252005973

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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 position (80 hours per pay period) with a Monday – Friday day shift schedule, located at Scripps Mercy Hospital Chula Vista (one remote day per week once training is complete). You will enjoy comprehensive benefits that cover health & wellness, career development, and retirement options among other benefits.

Why join Scripps Health?

At Scripps Health, your ambition is empowered and your abilities are appreciated:

  • Nearly a quarter of our employees have been with Scripps Health for over 10 years.
  • Scripps is a Great Place to Work Certified company for 2025.
  • Scripps Health has been consistently ranked as a top employer for women, millennials, diversity, and as an overall workplace by various national publications.
  • Becker’s Healthcare ranked Scripps Health on its 2024 list of 150 top places to work in health care.
  • We have transitional and professional development programs to create a learning environment that enables you to thrive in your specific field as well as in your overall career.
  • Our specialties have been nationally recognized for quality in areas such as cardiovascular care, oncology, orthopedics, geriatrics, obstetrics and gynecology, and gastroenterology.

 

Join a great team supporting the RAVE/Training department at our Scripps Mercy Hospital Chula Vista as a Public Resource Specialist. In this position, you will be responsible for a variety of tasks involving un-funded or under-funded patients admitted to Scripps Health, including:

  • Assist Scripps unfunded and under-funded patients and their families with applying for Public Assistance by submitting applications to the county, monitoring of the applications, through to the highest level of appeals while adhering to all policies on fraud/abuse and providing excellent customer service to patients and other customers   
  • Acting liaison between Scripps, County HHSA/HCSS HOPE and FRC programs 
  • Meets productivity and quality standards
  • Acts as a resource to Case Management, Social Work and other hospital staff if patient funding impacts discharge planning and transfers 
  • Makes home calls when necessary as part of assisting with application/verification process 

Required Qualifications:

  • Minimum of 5 years of experience as an Eligibility Case Worker with either the County, State or Federal Public Benefits Agency. 

  • Bilingual in Spanish.

  • CA Driver’s License.
  • Ability to comprehend and apply knowledge of State, Federal, and County Eligibility Policies.
  • Ability to interpret and explain complex processes to a predominant indigent population. 

  • Excellent organizational and communication skills.

  • Experienced in dealing with a socially and economically disadvantaged patient population.    

     

Preferred Qualifications:

  • Bachelor’s degree preferred.
  • Notary license preferred.
  • Appeals experience preferred.

Position Pay Range: $29.42-$42.29/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

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.

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