Patient Service Specialist - SSRS

This is a benefitted, full time 8 hour shift position and is part of our SSRS Department (Float Pool), supporting all Scripps campuses as needed. Must be available for Days and Evenings (05:00am to 10:00pm) and a varied schedule including weekends. You will receive an additional Scripps Systemwide Resource Services (SSRS) Differential due to the travelling nature of this position within this department. You will also enjoy comprehensive benefits that cover health & wellness, career development, and retirement options among other benefits.

Why join Scripps Health?

AWARD-WINNING WORKPLACE:

• Made Becker's 150 Top Places to Work for 2024
• Recognized by Newsweek as one of America's Greatest Workplaces for Diversity in 2024
• #5 in Fortune Best Workplaces in Healthcare 2023
• #78 in PEOPLE Companies that Care 2023
• #95 in Fortune 100 Best Companies to Work for 2023
• Nearly a quarter of our employees have been with Scripps Health for over 10 years

Why SSRS?

* Enjoy a variety of health care environments, continued learning and growth opportunities.

* Support the Scripps Health Clinics across the organization and gain exposure to many of our different locations as needed.

Join a winning team at Scripps Health supporting the SSRS team as a Patient Service Specialist. Working together, you'll bring your expertise, compassion, and excellence to all we do. The ideal candidate will thrive in a fast-paced environment and enjoy providing world class customer service.

As a Patient Service Specialist, you will be 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.
• 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.
• 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.

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.
• Able to adapt, prioritize and meet deadlines.

Preferred Qualifications:

• 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.