Patient Service Specialist - ED - La Jolla

Scripps Health•San Diego, CA

1d•Onsite

About The Position

Join a caring team supporting Scripps Memorial Hospital La Jolla as a Patient Service Specialist - ED in the Access Services/ED department. You'll be on the front line for creating a positive Scripps Health experience for our patients while being responsible for duties such as the following: 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. Accurately scheduling and re-scheduling patient appointments. Successful scheduling includes, but not limited to, exhibiting proficiency in appointment scheduling procedures, accurate documentation, and routing of messages, scheduling and confirming appointments according to practice guidelines, entering appropriate insurance, initiating authorizations and referrals, performing Key User duties with minimal errors. Coordinating scheduling, meeting and travel planning needs, department communication as needed. May assist in gathering necessary reports, statistics, outcomes for the department as needed. 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.

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 and Modifiers.

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.
Accurately scheduling and re-scheduling patient appointments. Successful scheduling includes, but not limited to, exhibiting proficiency in appointment scheduling procedures, accurate documentation, and routing of messages, scheduling and confirming appointments according to practice guidelines, entering appropriate insurance, initiating authorizations and referrals, performing Key User duties with minimal errors.
Coordinating scheduling, meeting and travel planning needs, department communication as needed.
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.