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

Date Posted: 11/20/2018

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.
 
Join a winning team supporting the Patient Billing Services 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 enjoy providing world class customer service.
 
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 appeals unpaid and denied claims.
 
The Patient Account Specialist works directly with the insurance companies, healthcare providers, liable third parties and patients to get claims processed and paid.  Supports continuous improvement of organizational 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 8 Hour Day Shift position located at Scripps Business offices in the Rancho Bernardo area.

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.
  • 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.