PATIENT SERVICE SPECIALIST-ED
Scripps Health
Summary
Responsible for 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. Receives and routes messages received in the department appropriately as well as manages customer billing and payment inquires as needed.
Job description
Effectively manages 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. Regularly displays a proactive approach to customer service by listening to the patient, taking ownership of solutions and is able to accurately identify the need to involve leadership in order to resolve concerns. Acts as a member of the patient care team by supporting the clinical care staff in the care of the patient.
Requirements
- Proficiency of computer applications
- Excellent mathematical skills
- 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
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.