Patient Service Specialist - Admitting/Access - Chula Vista

Scripps HealthChula Vista, CA
Onsite

About The Position

Join a winning team at Scripps Mercy Hospital Chula Vista supporting the Access & ED department as a Patient Service Specialist. Working together, you’ll bring your expertise, compassion, and excellence to all we do. The ideal candidate will thrive in a fast-paced environment and enjoy providing world class customer service.

Requirements

  • 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.

Nice To Haves

  • 2 years of experience in a 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.

Responsibilities

  • 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.
  • Receiving and routing messages received in the department appropriately as well as manages customer billing and payment inquires as needed.
  • Effectively managing 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 displaying a proactive approach to customer service by listening to the patient, taking ownership of solutions and being able to accurately identify the need to involve leadership to resolve concerns.
  • Acting as a member of the patient care team by supporting the clinical care staff in the care of the patient.

Benefits

  • transitional and professional development programs
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