Patient Service Representative-Internal Medicine

Scripps Health San Diego , CA 92140

Posted 1 week ago

At Scripps Health, you will experience the pride, support, and respect of an organization 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 Internal Medicine department as a Patient Service Representative where you will be on the front lines of the department at our Scripps Rancho Bernardo clinic. This busy clinic helps to support multiple providers in a call center environment, where you will assist with referrals, appointment scheduling, medication refill requests, and miscellaneous inquiries. In this role, you will also help with check in and check out procedures during certain hours. The ideal candidate will be comfortable with heavy call volumes and enjoy providing world class customer service.

The Patient Service Representative is responsible for interacting with patients, payers and providers to gather information necessary for accurate registration including assigning of appropriate Medical Record Number, scheduling, referral/authorization, point of service payment collection, document collection and arrival/check-in functions. Responds to customer billing and payment inquires as needed. Effectively manages the patient check-in and check-out process from start to finish, which includes 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; collecting patient payment responsibility and accurately preparing end of day reporting or payment reconciliation as needed. Escalating billing inquiries as needed. Accurately 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, performing Key User duties with minimal errors. May be responsible for initiating and validating referrals/authorizations. Regularly displays 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, Day Shift position with a 10AM - 7PM schedule from Monday - Friday and a rotating Saturday schedule, located at our Scripps Clinic Rancho Bernardo.

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.

Preferred Qualifications:

  • 1 year experience customer service or healthcare/medical office environment preferred.

  • Able to adapt, prioritize and meet deadlines.

  • Experience with Epic.

  • 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.

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Patient Service Representative-Internal Medicine

Scripps Health