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Scripps Clinic in Encinitas has been providing North County families with exceptional medical care for more than 40 years. This Patient Service Specialist role will support our Physician Division of Scripps Clinic Family Medicine. The ideal candidate will enjoy providing customer service and supporting with coordinating meetings and preparing presentation materials for the team.
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, and 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 is a Full Time role, located at our Scripps Encinitas Clinic.
Must be able to demonstrate proficiency of computer applications, excellent mathematical skills and ability to handle monies.
Experience with Registering and Scheduling.
Experience processing referrals and authorizations.
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.
Preferred Education/Experience/Specialized Skills/Certification:
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, 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.