Patient Service Specialist - ED - Oceanside

Scripps Health•Oceanside, CA

1d•Onsite

About The Position

The Patient Service Specialist supports Scripps Coastal Medical Center Oceanside in the Urgent Care department, serving on the front line of the patient experience. The role interacts with patients, payers, and providers to support accurate registration, scheduling, check-in and check-out, payment collection, and patient care team operations. The position is benefitted and full-time, scheduled for 72 hours per pay period on day shifts consisting of 12-hour shifts, including some weekends and holidays. It is located at Scripps Coastal Medical Center in Oceanside.

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 a customer service or 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

Gather information from patients, payers, and providers to complete accurate registration, including assigning the appropriate Medical Record Number, obtaining referral and authorization information, collecting point-of-service payments and documents, and completing arrival and check-in functions.
Receive and route department messages appropriately and respond to 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; providing, obtaining signatures on, 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 reconciling payments as needed.
Assist patients with HPE eligibility, discuss payment arrangements and financial assistance, and provide price estimates.
Schedule and reschedule patient appointments accurately, document and route messages, schedule and confirm appointments according to practice guidelines, enter insurance information, initiate authorizations and referrals, and perform Key User duties with minimal errors.
Coordinate scheduling, meetings, travel planning, and department communications as needed.
Assist with gathering department reports, statistics, and outcomes as needed.
Provide proactive customer service by listening to patients, taking ownership of solutions, and recognizing when leadership should be involved to resolve concerns.
Support clinical care staff as a member of the patient care team.