Patient Service Representative - Cardiology - La Jolla

Scripps Health•San Diego, CA

5d•Onsite

About The Position

Join the caring team supporting Scripps Anderson Medical Pavilion as a Patient Service Representative in the Cardiology department. This role is on the front line of creating a positive Scripps Health experience for patients. It is a full-time position of 80 hours per pay period, Monday through Friday, 8 a.m. to 5 p.m., located at Scripps Anderson Medical Pavilion in La Jolla. The role includes interacting with patients and providers to gather information for accurate registration; assigning medical record numbers; scheduling appointments; collecting point-of-service payments; collecting documents; and completing check-out functions. The representative also responds to billing and payment inquiries, manages check-in and check-out processes, verifies identification and demographic and insurance information, ensures required forms are provided and completed, and prepares end-of-day reports or payment reconciliations. Other duties include scheduling and confirming appointments in person or by phone, entering insurance information, initiating and validating referrals and authorizations, and proactively addressing patient concerns through attentive service and appropriate escalation.

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, 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, schedule appointments, collect point-of-service payments, collect documents, and complete check-out functions.
Respond to customer billing and payment inquiries.
Manage check-in and check-out, including verifying identification and demographic and insurance information; ensuring forms are provided, signed, and witnessed; and preparing accurate end-of-day reporting or payment reconciliation.
Schedule and confirm appointments in person or over the phone and enter appropriate insurance information.
Initiate and validate referrals and authorizations.
Listen to patients, take ownership of solutions, and identify when leadership should be involved to resolve concerns.