Patient Service Representative - Call Center - 4S Ranch
Scripps Health
Summary
Join a caring team supporting the Scripps Business Services Center as a Patient Service Representative in the Call Center department. You'll be on the front line for creating a positive Scripps Health experience for our patients.
Job description
Responsibilities
- Interacting with patients and providers to gather information for accurate registration
- Assigning of Medical Record Number, appointment scheduling, point of service payment collection, document collection and check-out functions
- Responding to customer billing and payment inquires
- Effectively managing the check in or check out process, which includes identification verification; confirming demographic and insurance information; ensuring appropriate forms are provided, signed, and witnessed at the time of the patient visit and accurately preparing end of day reporting or payment reconciliation
- Scheduling and confirming appointments in person or over the phone and entering appropriate insurance
- Initiating and validating referrals/authorizations
- Having a proactive approach to customer service by listening to the patient, taking ownership of solutions and being able to identify the need to involve leadership to resolve concerns
Required Qualifications
- 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
Preferred Qualifications
- 1 or more years of experience customer service or healthcare/medical office environment preferred
- Able to adapt, prioritize and meet deadlines
- 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
Requirements
- Proficiency of computer applications
- Excellent mathematical skills
- Ability to handle monies
- Excellent communication and customer service skills
- Strong organizational and analytical skills
- Ability to identify and solve problems
- 1 or more years of experience customer service or healthcare/medical office environment preferred
- Able to adapt, prioritize and meet deadlines
- Knowledge of medical terminology, commercial and government health insurance and billing guidelines, ACA requirements, DRG's, Medical ICD9/ICD10 codes and CPT/HCPC Codes and Modifiers
Benefits
- Health & Wellness Benefits
- Career Development
- Retirement Options
Company overview
Scripps Health is a prominent nonprofit healthcare system based in San Diego, California, recognized as one of the region's largest and most comprehensive medical providers. Founded in 1924, the organization operates five acute-care hospital campuses across San Diego County, along with numerous outpatient clinics, urgent care centers, and affiliated physician groups. Scripps is renowned for its clinical excellence, consistently ranking among the nation's top hospitals in various specialties including cardiology, orthopedics, and cancer care. The system maintains strong affiliations with leading academic institutions and operates the Scripps Research Translational Institute, which focuses on genomic medicine and personalized healthcare. As a community-focused organization, Scripps Health provides a full continuum of care from primary and preventive services to complex specialty treatments and emergency care, serving over 700,000 patients annually. The system is also a major teaching institution with residency and fellowship programs across multiple medical specialties.