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Patient Account Specialist - Customer Service in San Diego, CA at Scripps Med Foundation Administration

Date Posted: 6/12/2019

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.
 
Join a winning team supporting our Patient Customer Service department as a Patient Account Specialist. Together, you’ll bring your expertise, compassion and excellence to all we do. The ideal candidate will thrive in a fast paced environment and enjoys working in a call center environment taking heavy call volumes. Our team helps support our patients in their payment needs while providing world class customer service.
 
The Patient Account Specialist is responsible for a variety of follow-up tasks relating to claims processing; contacts responsible parties to resolve past-due accounts; investigates account status and initiates collection. Submits claims and follows up with payors to account resolution. This position will cover incoming calls from both our clinic and hospital patients as our team moves towards a Single Billing Office model.
 
Our Patient Account Specialists, Identify problem accounts with payors; investigates and corrects errors, follows-up on missing account information, and appealing unpaid and denied claims. Works directly with the insurance company, healthcare provider, liable third parties and patient to get a claim processed and paid.
 
The Patient Account Specialist supports continuous improvement of organization processes and personal knowledge and skills. Maintains and protects confidential information. Provides excellent customer service through cooperative working relationships. Meets productivity and quality standards.
 
This is a Full Time position located at our Scripps Business Services office in Rancho Bernardo. The hours for this role are 8am – 4:30pm, Monday through Friday.

 

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.
  • Good verbal and written communication skills.
  • Detail oriented and ability to prioritize work.
  • Requires a 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:
  • Two years of patient accounts experience in a healthcare setting.
  • Experience with heavy call volumes or call centers.
  • Experience with Epic.
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.