Patient Service Representative - Plastic Surgery - Del Mar

Scripps Health•Del Mar, CA

1d•Onsite

About The Position

Scripps Clinic - Del Mar is seeking a Patient Service Representative for its Plastic Surgery department. This full-time position is scheduled Monday through Friday, 7:45 AM to 4:45 PM, for 80 hours per pay period. The representative is on the front line of the patient experience and interacts with patients and providers to support accurate registration, appointment management, payments, and patient check-in and check-out. The role also includes responding to billing and payment inquiries, initiating and validating referrals and authorizations, and taking ownership of customer-service concerns while involving leadership when needed. Scripps Health offers comprehensive benefits covering health and wellness, career development, and retirement options, as well as transitional and professional development programs.

Requirements

Demonstrated 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, 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, schedule appointments, collect point-of-service payments, collect documents, and perform check-out functions.
Respond to customer billing and payment inquiries.
Manage patient check-in and check-out, 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.