PATIENT ACCOUNT SPECIALIST - PFS Billing Services - Full-Time - Day in San Diego, CA at Scripps Corporate Offices

Date Posted: 2/16/2018

Job Snapshot

Job Description

Responsible for a variety of billing and 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. Identifies problem accounts with payors; investigates and corrects errors, follows-up on missing account information, and appealing unpaid and denied claims. Working directly with the insurance company, healthcare provider, liable third parties and patient to get a claim processed and paid. 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.

Job Requirements

Required Education/Experience/Specialized Skills: Minimum of two (2) years of hospital insurance billing and insurance collections.
 
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.
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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.