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PATIENT ACCOUNT SPECIALIST in San Diego, CA at Scripps Med Foundation Administration

Date Posted: 1/11/2019

Job Snapshot

Job Description

An Evergreen Requisition is a posting for positions Scripps Health hires for throughout the year. It is a way for Scripps Health to build a network of qualified, interested candidates for a specific job function in order to expedite the hiring process when there is a need to fill that type of role. By applying to an Evergreen Requisition, you are expressing your interest for a particular job function within Scripps Health.


At Scripps Health, you will experience the pride, support and 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 Scripps as a Patient Account Specialist where you'll create a world class customer service experience that will leave a lasting impression with our patients. Responsible for over 1300 calls per day, our 20 customer service team members provide care, resolution and information to patients, physicians, insurance companies and other callers.
 
A Self-starter with an engaging personality will have the opportunity to be a Scripps subject matter expert from services, billing and directing our patients to find their way. So if you're ready, we are looking for people who can handle the small stuff without losing sight of the big picture.
 
The Patient Account Specialist is 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.
 
This is a Full Time Monday- Friday 8AM-4:30PM, Day position located at 4S Ranch/Ranch Bernardo.  

Job Requirements

Required:

  • Minimum 1 year of actively working denied or delinquent accounts to maximize 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.
Preferred:

  • Two years of patient accounts experience in a healthcare setting.
  • Collections experience.
  • High Call Volume experience.

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.