Patient Service Representative Patient Financial Services

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Location: 4077 FIFTH AVENUE, San Diego, CA Job Description Requirements Job Description **Job Description**

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

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

Join the team at Scripps Mercy Hospital San Diego as a Patient Service Representative supporting our Patient Financial Services department. You will experience the pride and support of being a member of an outstanding team where we share a culture of providing excellent care to our patients and each other. This position is responsible for assisting inpatients by completing all patient registration, identification, verification, health insurance authorization and follow-up, and hospital notifications.

Primary duties will include:

- Meeting with patients at bedside to obtain demographics, insurance, and have forms signed (Trauma Units, SICU, MICU etc.)

- Verifying patients health insurance

- Notifying patients health insurance of hospital admission/Following up on the authorizations for approval

- Working with Case Management and Social Workers on obtaining & verifying patients information

Other duties may include:

* Interacting with patients, payers and providers to gather information necessary for accurate registration including assigning of Medical Record Number, scheduling, referral/authorizations, payment collection, document collection and arrival/check-in functions.

* Responding to customer billing and payment inquires.

* Escalating billing inquiries as needed.

* Scheduling patient appointments. Successful scheduling includes exhibiting proficiency in appointment scheduling procedures, accurate documentation and routing of messages, scheduling and confirming appointments according to guidelines, entering insurance, performing Key User duties.

* Initiating and validating referrals/authorizations.

* Having 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.

This is a benefitted Part Time, Day Shift position with four hour shifts from 12:30PM 4:30PM five days a week, located at Scripps Mercy Hospital San Diego. Flexible availability is a must as some rotating weekends and holidays may be included.

**All healthcare personnel are required to provide proof that they are fully vaccinated (and boosted once eligible) against COVID-19 or agree to receive the vaccination at the point of hire or submit a written request for an exception based on a medical reason, disability or sincerely-held religious belief, practice or observance with supporting documentation. Proof of vaccination and booster (if eligible) must be submitted at the pre-employment physical.**

*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.*

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Requirements **Requirements**

**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 year of experience in a 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.

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**12/4/2014**

Supervisor, Patient Care

Ensures nursing practice reflects established standards of care and practice and a culture that promotes patient safety. Under the general direction of the Patient Care Manager, shares leadership responsibilities for the nursing unit, including managing daily staffing plans.

**3/28/2020**

Manager, Clinical Care Line

Assesses and improves the patient care process for the assigned population along the continuum of care, serving as an expert clinical resource for ensuring quality of care and customer satisfaction. Develops competencies for care line staff and may facilitate staff education.

* Home to 5 hospitals, 30 outpatient centers and hundreds of affiliated physician offices

* Known for our compassionate, collaborative culture

* The only San Diego-based company to make Fortune magazines 100 Best Places to Work

* Consistently ranked by U.S. News & World Report among the nations best

* At the forefront of clinical research and education, with three highly respected graduate medical education programs and one of the top teaching hospitals in the nation