PATIENT ACCOUNT SPECIALIST in San Diego, CA at Scripps Corporate Offices

Date Posted: 10/15/2018

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.
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 position is based out of our Rancho Bernardo business offices  
Flexible schedule: Full-Time Monday-Friday 8 hour DAY shift position, shift start times vary from 5:30am - 9:00am

Job Requirements

Required Qualifications:  
•         Minimum one (1) year of Hospital Billing and Follow-Up experience
•         Strong working knowledge of managed care plans, insurance carriers, government Payers and payer requirements
•         Knowledge of:  Medical Terminology and Medicare Compliance - HIPAA privacy requirements for patient information - DRG's, Medical ICD9/ICD10 codes and CPT/HCPC Codes - Insurance and reimbursement process
•         Ability to multitask/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
•         Requires a moderate level of interpersonal, problem solving, and analytic skills
•         Ability to establish/maintain cooperative working relationship with staff, Medical Staff and providers
Preferred Qualifications:
•         Two years of patient accounts experience in a healthcare setting