Patient Service Specialist - Admitting/Access - Hillcrest

Scripps Health•San Diego, CA

2d•Onsite

About The Position

The Patient Service Specialist works in the Patient Financial Services/Access & Admitting department at Scripps Mercy Hospital San Diego in Hillcrest. The role is on the front line of the patient experience and supports patients, payers, providers, and clinical care staff. Responsibilities include accurate patient registration and check-in/check-out, verifying demographic and insurance information and coverage, handling forms and payments, responding to billing and payment inquiries, and helping patients understand eligibility, payment arrangements, financial assistance, and price estimates. This is a benefitted full-time position at 80 hours per pay period with a varied schedule.

Requirements

Proficiency with computer applications.
Excellent mathematical skills and ability to handle money.
Excellent communication and customer service skills.
Strong organizational and analytical skills, with the ability to identify and solve problems.
Ability to adapt, prioritize, and meet deadlines.

Nice To Haves

Two years of experience in customer service or a healthcare/medical office environment.
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.

Responsibilities

Interact with patients, payers, and providers to gather information for accurate registration, including assigning the appropriate Medical Record Number, handling referrals and authorizations, collecting point-of-service payments and documents, and completing arrival and check-in functions.
Receive and appropriately route departmental messages, and manage customer billing and payment inquiries as needed.
Manage patient check-in and check-out from start to finish, including verifying identification; updating or confirming demographic and insurance information; ensuring forms are provided, signed, and witnessed; verifying coverage, benefits, authorizations, pre-determinations, and payer-specific exclusions or limitations; collecting patient responsibility; and preparing end-of-day reports or reconciling payments as needed.
Assist patients with HPE eligibility, discuss payment arrangements and financial assistance information, and provide price estimates.
Provide proactive customer service by listening to patients, taking ownership of solutions, and identifying when leadership should be involved to resolve concerns.
Support clinical care staff as a member of the patient care team.