Patient Service Specialist - OB - La Jolla

Scripps Health • San Diego, CA

1d • Onsite

About The Position

The Patient Service Specialist - Obstetrics supports the Maternal Child Health department at Scripps Memorial Hospital La Jolla. This front-line role helps create a positive patient experience and supports clinical care staff. It is a casual, per-diem, non-benefitted position with a varied schedule of 12-hour shifts, including some day shifts, night shifts, weekends, and holidays.

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 or medical office environment.
• Knowledge of medical terminology; commercial and government health insurance and billing guidelines; ACA requirements; DRGs; and medical ICD-9/ICD-10 codes and CPT/HCPC codes and modifiers.

Responsibilities

• Interact with patients, payers, and providers to collect information for accurate registration, including assigning medical record numbers, handling referrals and authorizations, collecting point-of-service payments and documents, and completing arrival and check-in functions.
• Receive and appropriately route department messages, and handle customer billing and payment inquiries as needed.
• Manage patient check-in and check-out from start to finish, including verifying identification, confirming or updating demographic and insurance information, and ensuring forms are provided, signed, and witnessed.
• Verify coverage, benefits, authorizations, pre-determinations, and payer-specific exclusions or limitations; collect patient responsibility; and prepare end-of-day reporting or payment reconciliation as needed.
• Assist patients with HPE eligibility, discuss payment arrangements and financial assistance, and provide price estimates.
• Provide proactive customer service by listening to patients, taking ownership of solutions, and identifying when leadership involvement is needed to resolve concerns.
• Support clinical care staff as a member of the patient care team.

What This Job Offers

• Education Level: No Education Listed