Patient Service Representative - Allergy - Carmel Valley

Scripps Health•San Diego, CA
•Onsite

About The Position

Scripps Clinic in Carmel Valley is seeking a Patient Service Representative for its Allergy department. This full-time role is scheduled Monday through Friday, 8 a.m. to 5 p.m., for 80 hours per pay period. The representative supports patients and providers and helps create a positive patient experience through registration, appointment scheduling, payment collection, document handling, referrals, and responsive customer service. The position offers comprehensive benefits covering health and wellness, career development, and retirement options.

Requirements

  • Proficiency with computer applications.
  • Excellent mathematical skills and ability to handle money.
  • Excellent communication and customer service skills.
  • Strong organizational and analytical skills.
  • Innovative approach and ability to identify and solve problems.

Nice To Haves

  • One year of experience in customer service or a healthcare/medical office environment.
  • Ability to adapt, prioritize, and meet deadlines.
  • Knowledge of medical terminology, commercial and government health insurance and billing guidelines, ACA requirements, DRGs, Medical ICD-9/ICD-10 codes, and CPT/HCPC codes and modifiers.

Responsibilities

  • Interact with patients and providers to gather information for accurate registration.
  • Assign Medical Record Numbers and perform appointment scheduling, point-of-service payment collection, document collection, and check-out functions.
  • Respond to customer billing and payment inquiries.
  • Manage check-in and check-out processes, including verifying identification, confirming demographic and insurance information, ensuring required forms are provided, signed, and witnessed, and preparing end-of-day reports or payment reconciliation accurately.
  • Schedule and confirm appointments in person or by phone and enter appropriate insurance information.
  • Initiate and validate referrals and authorizations.
  • Provide proactive customer service by listening to patients, taking ownership of solutions, and identifying when leadership should be involved to resolve concerns.

Benefits

  • Comprehensive benefits covering health and wellness, career development, and retirement options.
  • Transitional and professional development programs.
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