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

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:

  • 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.



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Patient Account Specialist - Denials

Scripps Health