PATIENT SERVICE SPECIALIST-ED
Scripps Health, Encinitas, CA, United States
Description
Responsible for interacting with patients, payers and providers to gather information necessary for accurate registration including assigning of 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 is able to accurately identify 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.
Qualifications
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.
Required Certification/Registration:
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.
Organization
Scripps Encinitas Hospital
Location
Northern San Diego County - ENCINITAS - SCRIPPS MEMORIAL HOSPITAL ENCINITAS, 354 SANTA FE DRIVE, ENCINITAS 92024
Salary Range
USD 27.24 - 35.88 (California employees only)
Equal Opportunity Statement
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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Responsible for interacting with patients, payers and providers to gather information necessary for accurate registration including assigning of 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 is able to accurately identify 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.
Qualifications
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.
Required Certification/Registration:
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.
Organization
Scripps Encinitas Hospital
Location
Northern San Diego County - ENCINITAS - SCRIPPS MEMORIAL HOSPITAL ENCINITAS, 354 SANTA FE DRIVE, ENCINITAS 92024
Salary Range
USD 27.24 - 35.88 (California employees only)
Equal Opportunity Statement
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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