Job Detail

Scripps Health Administrative Services supports our five hospitals and 19 outpatient facilities, which treat half a million patients annually through 2,600 affiliated physicians.

At Scripps Health, you will experience the pride, support, and respect of an organization that has been repeatedly recognized as one of the nation’s Top 100 Places to Work.

You’ll be surrounded by people committed to making a difference in the lives of their patients and their teammates. So if you’re open to change, go ahead and unlock your potential.

Join a winning team at Scripps Memorial Hospital Encinitas supporting the Patient Financial Services department as a Patient Service Specialist. The ideal candidate will thrive in a fast-paced environment and enjoy providing world class customer service. This position does insurance verification for all emergency, direct admission to the hospital, and outpatient surgery cases, ensuring that that all authorizations are obtained before and after discharge. Follow up on authorization is required prior to the bill being generated for payment.

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 in order to resolve concerns.
• Acting as a member of the patient care team by supporting the clinical care staff in the care of the patient.

This is a non-benefitted Casual/Per Diem position with a varied schedule, located at Scripps Memorial Hospital Encinitas. Flexible availability is a must.

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 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 and Modifiers.
• Ability to work well in a fast-paced environment.

Scripps Health is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, sexual orientation, or gender identity/expression), age, marital status, status as a protected veteran, among other things, or status as a qualified individual with disability.