PATIENT SERVICE SPECIALIST - OUTPATIENT FLOAT POOL in San Diego, CA at Scripps Clinic - Encinitas

Date Posted: 10/4/2018

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.
This outpatient clinic is located in sunny San Diego, CA and minutes from our beautiful beaches and central to the vibrant Encinitas community.  You will experience the pride, and support of being a member of an outstanding team at our Encinitas clinic where we share a culture of providing excellent care to our patients and each other. 
The Patient Service Specialist interacts with patients, payers and providers to gather information necessary for accurate registration including assigning of appropriate Medical Record Number, scheduling/re-scheduling, referral/authorization, point of service payment collection, document collection and arrival/check-in functions. Provides a proactive approach to customer service by listening to the patient, taking ownership of solutions and escalates issues as appropriate in order to resolve concerns. Receives and routes messages received in the department appropriately as well as manages customer billing and payment inquires as needed. Effectively manages the patient interaction from start to finish, which may include identification verification; updating or confirming demographic and insurance information on every patient; ensuring appropriate forms are provided, signed and witnessed at the time of the patient visit; verifying coverage including benefits, authorization, pre-determination, payer specific policy exclusions or limitations to coverage, collecting any patient responsibility and accurately preparing end of day reporting or payment reconciliation as needed. Assisting patients with HPE eligibility, discussing payment arrangement options including financial assistance information, providing price estimates. Responsible for accurately scheduling and re-scheduling patient appointments. Successful scheduling includes, but not limited to, exhibiting proficiency in appointment scheduling procedures, accurate documentation and routing of messages, scheduling and confirming appointments according to practice guidelines, entering appropriate insurance, initiating authorizations and referrals, performing Key User duties with minimal errors. May coordinate scheduling, meeting and travel planning needs, department communication as needed. May assist in gathering necessary reports, statistics, outcomes for the department as needed.
 

Please note this position covers 17 specialties on site which requires additional training to do complex scheduling. Candidate must be willing to work any schedule within the business hours of the site which is M-F 7am to 7pm, and weekends 9am to 1pm. Weekends are alternated with other staff.

Job Requirements

Required Qualifications:
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.
 
Able to adapt, prioritize and meet deadlines.

High School graduate or equivalent

Preferred Qualifications:
2 years experience customer service or healthcare/medical office environment.
 
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, 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.