Patient Service Representative

2 months ago


San Diego, United States Scripps Health Full time

Scripps Health Administrative Services supports our five hospitals and 19 outpatient facilities, which treat half a million patients annually through 2,600 affiliated physicians.

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.

This Patient Service Representative position supports our Check In department and is responsible for providing a high-quality patient check in experience. You will experience the pride and support of being a member of an outstanding team at our Scripps Rancho Bernardo Clinic where we share a culture of providing excellent care to our patients and each other. You'll be on the front line for creating a positive Scripps Health experience for our patients while being responsible for the following:

- Interacting with patients, payers, and providers to gather information necessary for accurate registration including assigning of Medical Record Number, scheduling, referral/authorizations, payment collection, document collection and arrival/check-in functions.
- Responding to customer billing and payment inquires.
- Managing the patient check-in and check-out process from start to finish, which includes identification verification; confirming demographic and insurance information; 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.
- Scheduling patient appointments. Successful scheduling includes, exhibiting proficiency in appointment scheduling procedures, accurate documentation and routing of messages, scheduling and confirming appointments according to guidelines, entering insurance, performing Key User duties.
- Initiating and validating referrals/authorizations.
- Having a proactive approach to customer service by listening to the patient, taking ownership of solutions and being able to accurately identify the need to involve leadership in order to resolve concerns.

This is a benefitted Full Time, Day Shift position with a Monday - Friday schedule and rotating Saturdays, located at our Scripps Clinic Rancho Bernardo.

**Required Qualifications**:

- Excellent communication and customer service skills.
- Strong organizational and analytical skills; innovative with ability to identify and solve problems.

**Preferred Qualifications**:

- 1 or more years of experience customer service or healthcare/medical office environment preferred.
- Able to adapt, prioritize and meet deadlines.
- 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.

Position Pay Range: $22.29-$30.58/hour



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