Patient Service Specialist – Insurance Authorizations – 4S Ranch

Facility: Scripps Health Corp

Location: San Diego, CA

Career Area: Business Office

Employment Type: Full Time

Shift: Varied

Job ID: 252001116

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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 (80 hours every two weeks) benefited position working varied shifts between 6AM and 6PM. Flexible schedule availability is a must. Once training is complete, this position has a hybrid work schedule, with a work from home (WFH) and in-office schedule. The office is located at our Business Services office in 4S Ranch.

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.

Join a winning team at Scripps Corporate Office supporting the Rave/Training department as a Patient Service Specialist. Working together, you’ll bring your expertise, compassion and excellence to all we do. The ideal candidate will thrive in a fast-paced environment and enjoy providing world class customer service. You will experience the pride and support of being a member of an outstanding organization where we share a culture of providing excellent care to our patients and each other. 

As a Patient Service Specialist, you will be responsible for:

  • Responsible for interacting with patients and providers to gather information necessary for accurate registration including point of service payment collection and document collection, functions.
  • Receives and routes messages received in the department appropriately as well as manages customer billing and payment inquires as needed.
  • Effectively manages collecting any patient responsibility and accurately preparing end of day reporting or payment reconciliation as needed.
  • Assisting patients with discussing payment arrangement options including financial assistance information, providing price estimates.
  • May coordinate scheduling, meeting and travel planning needs, department communication as needed.
  • May assist in gathering necessary reports, statistics, outcomes for the department as needed.
  • 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 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:

  • Minimum of 3 years working with commercial, government, and workers’ compensation payers.
  • Minimum of 3 years’ experience in obtaining authorizations for imaging or surgical services.
  • Minimum of 3 years’ experience in patient registration
  • Comprehensive understanding of coordination of benefits, outpatient and inpatient authorization processes for both hospitals and provider settings.
  • Proficiency with EPIC electronic health record system.
  • Strong command of the Microsoft Office Suite (Word, Excel, PowerPoint, Teams).
  • Ability to multitask effectively.
  • Demonstrated capability to work well under pressure and handle high levels of stress.
  • Flexible and adaptable to change in a dynamic work environment.
  • Detail-oriented with strong time management skills.
  • Analytical and problem-solving skills to navigate complex authorization issues.
  • Resourceful and able to work independently when needed.
  • Excellent communication skills for interacting with providers, staff, and patients.
  • Proven ability to work well with providers and staff, fostering effective collaborations.
  • Team player who contributes positively to team dynamics.
  • Strong organizational skills to manage multiple tasks and deadlines efficiently.
  • Ability to remain calm and focused in stressful situations.

Position Pay Range: $25.40-$33.15/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 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.

Exterior of Scripps Mercy Hospital

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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