Patient Account Specialist - Denials

Scripps Health San Diego , CA 92140

Posted 2 months ago

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 Patient Accounting Department as a Patient Account Specialist at 4S Ranch. 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 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 is a Full Time, Day position located at 4S Ranch.

Required Education/Experience/Specialized

  • 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:

  • 2 or more years of patient accounts experience in a healthcare setting.

  • Denial and Insurance Follow-up experience

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.

upload resume icon
See if you are a match!

See how well your resume matches up to this job - upload your resume now.

Find your dream job anywhere
with the LiveCareer app.
Mobile App Icon
Download the
LiveCareer app and find
your dream job anywhere
App Store Icon Google Play Icon

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Account Transfer Specialist

Cuso Financial Services, L.P.

Posted 1 week ago

VIEW JOBS 1/6/2019 12:00:00 AM 2019-04-06T00:00 DivisionCUSO Financial Services, L.P. PositionAccount Transfer Specialist LocationCFS and SPF Home Office - San Diego, CA Full-Time/Part-TimeFull-Time Description CUSO Financial Services, L.P. and Sorrento Pacific Financial, LLC. are looking for an Account Transfer Specialist to join our fun and successful organization. Our company culture fosters and encourages innovation and growth by promoting openness, flexibility, and an entrepreneurial spirit. This position will process incoming ACAT, ACAT's with debits, mutual fund, non-ACAT, internal and outgoing transfers. Position duties include but not limited to: * Processes incoming and outgoing requests including: reclaim, DTC, DWAC, DRS, rescind letters, stops residual sweeps, reactivate accounts and delivering shares back to the Fund Company. * Provides guidance to clients, brokers or their assistants with transfer forms. * Trains assistants and brokers on the transfer process through dataVISION , NetEx 360, and PaPort. * Assists with rep training and/or Admin training as applicable to your job functions. * Answers transfers line, personal line, general ops inquiries and emails within CFS standards. * Follows up on phone calls to our clearing firm as needed. * Follows up for all transfers through dataVision updates. * Handles complex account transfer requests or general operation inquiries as needed. * Handles cost basis updates, assist with cost basis, 1099 inquiries & corrections as needed. * Reviews rejected requests from Pershing or FundVISION and relay the rejects to the rep or client. * Ensures all incoming requests not in good order are returned within two weeks of receipt, if not rectified. * Takes proactive measures by calling contra-firm or mutual fund companies to complete a request. * Sets and keeps consistent work hours in the San Diego home office on a daily basis. * Supports Company Mission and Corporate Values * Other projects and duties may be assigned. Position Requirements Requirements: * Associate's degree (A. A.) or equivalent from two-year college or technical school; or two years customer service experience and/or training preferably in the financial services industry; or equivalent combination of education and experience. * Series 7 and 63 licenses are preferred. * Have basic Excel knowledge & Microsoft Outlook. For immediate consideration, apply online at: CUSO Financial Services, L.P. and Sorrento Pacific Financial, LLC. offers a rewarding career path and potential for advancement as well as good benefits and a solid work/life balance. Our collaborative culture offers community through shared goals and strong work ethics. CUSO recognized as one of the Best Places to Work in San Diego and one of San Diego's Healthiest Companies. As a result, we have many long-term employees who know our processes and efficiency goals so you will get to work with knowledgeable experts and top talent who believe in leading the industry through a high tech/high touch approach. To learn more about CFS, please visit EOE Cuso Financial Services, L.P. San Diego CA

Patient Account Specialist - Denials

Scripps Health