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PATIENT SERVICE SPECIALIST-ED

Scripps Health, San Diego, CA, United States


About Scripps Mercy Hospital
Scripps Mercy Hospital has served central and downtown San Diego since 1890 and is the oldest medical center in the county. The San Diego campus is located near the corner of 5th Avenue and Washington Street in Hillcrest. Scripps Mercy Hospital consists of two campuses in San Diego and Chula Vista. Scripps Mercy Hospital San Diego’s campus includes the O’Toole Breast Care Center, a 24‑hour emergency room that is a Level I Trauma Center, outpatient physical rehabilitation, minimally invasive robotic surgery and our childbirth unit (including a Level II neonatal intensive care unit).

Responsibilities
Responsible for interacting with patients, payers and providers to gather information necessary for accurate registration including assigning an appropriate Medical Record Number, referral/authorization, point of service payment collection, document collection and arrival/check‑in functions. Receives and routes messages received in the department appropriately as well as manages customer billing and payment inquiries 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; 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. Assisting patients with HPE eligibility, discussing payment arrangement options including financial assistance information, providing price estimates. Regularly displays a proactive approach to customer service by listening to the patient, taking ownership of solutions and accurately identifying the need to involve leadership in order to resolve concerns. Acts as a member of the patient care team by supporting the clinical care staff in the care of the patient.

Required Education / Experience / Specialized Skills

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.

Able to adapt, prioritize and meet deadlines.

Preferred Education / Experience / Specialized Skills / Certification
2 years experience in customer service or a 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.

Position Pay Range
$27.24 – $35.88 per hour

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