Patient Service Specialist - OB - Hillcrest

Scripps Health•San Diego, CA

2d•Onsite

About The Position

Scripps Health is hiring a Patient Service Specialist - Obstetrics in the Patient Financial Services department at Scripps Mercy Hospital San Diego in Hillcrest. This full-time, benefitted position is scheduled for 72 hours per pay period and has a varied night-shift schedule working 12-hour shifts. The role is on the front line of the patient experience and supports patients, payers, providers, and clinical care staff through registration, billing, payment, and related service functions.

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, with the ability to identify and solve problems innovatively.
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 and modifiers.

Responsibilities

Interact with patients, payers, and providers to gather information for accurate registration, including assigning appropriate Medical Record Numbers, obtaining referral and authorization information, collecting point-of-service payments and documents, and handling 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 identity; updating or confirming demographic and insurance information; providing, obtaining signatures for, and witnessing required forms; verifying coverage, benefits, authorizations, pre-determinations, and payer-specific exclusions or limitations; collecting patient responsibility; and preparing end-of-day reports or payment reconciliation as needed.
Assist patients with HPE eligibility, discuss payment arrangement options 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.