Patient Service Representative - Pediatrics in San Diego, CA at Scripps Coastal Medical Center - Encinitas

Date Posted: 7/30/2019

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.

Scripps Coastal Medical Center in Encinitas, makes it easy and convenient for our patients to receive the best health care in San Diego and you are an integral part. Our doctors are the "go to" experts for the San Diego community.

This Patient Service Representative supports our Pediatrics department and is responsible for providing a high quality patient check in experience and managing a high volume of patient calls. This busy office helps to support 12 providers and can see over 100 patients a day. The ideal candidate will have a cheerful and professional demeanor while being able to function in a fast paced medical office. You'll be on the front line for creating a positive Scripps Health experience for our patients while being responsible for the following:
  • Interacting with patients, payers and providers to gather information for accurate registration including assigning of Medical Record Number, scheduling, referral/authorization, point of service payment collection and arrival/check-in functions.
  • Responding to customer billing and payment inquires.
  • Manage the patient check-in and check-out process from start to finish, which includes identification verification; confirming demographic and insurance information; ensuring forms are provided, signed and witnessed at the time of the patient visit and accurately preparing end of day reporting or payment reconciliation as needed.
  • Escalating billing inquiries as needed.
  • Accurately scheduling patient appointments. Successful scheduling includes, exhibiting proficiency in appointment scheduling procedures, documentation and routing of messages, scheduling and confirming appointments and entering appropriate insurance.
  • Initiating and validating referrals/authorizations.
  • Having a proactive approach to customer service by listening to the patient, taking ownership of solutions and is able to accurately identify the need to involve leadership in order to resolve concerns.
This is a Full Time position and is located in Encinitas. The work schedule is mainly Monday – Friday, 8:30am – 5:30pm but will require a rotating weekend shift once a month.


Job Requirements

Required Education/Experience/Specialized Skills:
  • Must be able to demonstrate proficiency of computer applications, excellent mathematical skills and ability to handle monies.
  • Excellent communication and customer service skills.
  • Strong organizational and analytical skills; innovative with ability to identify and solve problems.
Preferred Education/Experience/Specialized Skills/Certification:
  • 1 or more years of experience customer service or healthcare/medical office environment preferred.
  • Previous experience working with Pediatrics.
  • Able to adapt, prioritize and meet deadlines.
  • Knowledge of medical terminology, commercial and government health insurance and billing guidelines, ACA requirements, understanding of DRG's, Medical ICD9/ICD10 codes and CPT/HCPC Codes and Modifiers.

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.