PATIENT SERVICE SPECIALIST in San Diego, CA at Scripps Memorial Hospital Encinitas

Date Posted: 8/9/2018

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 Financial Services Department as a Patient Service Specialist at Scripps Memorial Hospital Encinitas.  Working together, you’ll bring your expertise, compassion and excellence to all we do. The ideal candidate will thrive in a fast paced environment and enjoys providing world class customer service.
 
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.
 
The Patient Service Specialist assists 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, and outcomes for the department as needed.
 
This position is Full Time and located in Scripps Memorial Hospital Encinitas. 

Job Requirements

Experience/Specialized Skills:
  • Must be able to demonstrate proficiency of computer applications.
  • 1 to 2 years’ experience customer service or healthcare/medical office environment.
  • Knowledge of medical terminology, commercial and government health insurance and billing guidelines.
  • Appointment scheduling procedures, accurate documentation, scheduling and confirming appointments, insurance, initiating authorizations and referrals background.
  • 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.
  • Ability to adapt, prioritize and meet deadlines.
Required Education/Course(s)/Training:
  • High School graduate or equivalent.
 
Preferred Education/Experience/Specialized Skills/Certification:
  • 2 year’s experience in 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/HCPCS 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.