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CLIENT SERVICE SPECIALIST - CALL CENTER in San Diego, CA at Scripps Corporate Admin Services

Date Posted: 5/26/2019

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.
As a nationally recognized health system, Scripps Health is committed to providing the highest quality care to our patients. Through collaboration and innovation, our Client Service Specialists - Call Center for Premier ACO lead the frontier in providing support for staff to care for our community. As Client Service Specialist - Call Center for Premier ACO, you will act as patient's primary point of contact, ensuring a seamless and positive patient experience. Investigates, analyzes and develops creative solutions to client specific problems related to systems, claims, networks, providers, eligibility, billing, collections, etc. through active cross-functional team participation. You will appropriately and accurately gather information for the purposes of patient documentation and intake.
Additionally, you will act as a liaison between patient and internal partners and third party administrators (HAS's, medical providers, etc.). Monitor set up of account files and ensures proper billing. Schedules patient visits, provides physician and health care resource referrals, and assists in navigating care. Understand when to escalate patient concerns or issues as appropriate. Utilize databases to provide health plan information including co-pays, deductibles and coverage. Assist in gathering necessary reports, statistics and tracking outcomes for the department as needed.
This is a Full Time, 8 hour shift position located in La Jolla.

Job Requirements

Required Education/Experience/Specialized Skills:
  • Three (3) years of experience in customer service and/or health care/medical office environment.
  • Proficient in the use of multiple computer applications including customer relationship management systems, patient registration and scheduling, electronic health record and billing.
  • Excellent communication, customer service and relationship building behaviors and skills.
  • Strong organizational, data collection and analytical skills; innovative with ability to identify and solve problems.
  • Able to adapt, create urgency, prioritize and meet deadlines.

Preferred Education/Experience/Specialized Skills/Certification:
  • Bachelor degree in related field.
  • Previous Call Center experience highly preferred.
  • Health Plan experience preferred.
  • Epic experience preferred.
  • Knowledge of medical terminology, commercial and government health insurance, referrals and authorizations and billing guidelines, ACA requirements, 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, 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.