Patient Service Representative - Pediatrics

Company: Scripps Health
Location: Encinitas
Posted on: March 16, 2023

Job Description:

Patient Service Representative - PediatricsThis post is also available in: Location: 477 N. EL CAMINO REAL STE 206, Encinitas, 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 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. Scripps Coastal Medical Center in Encinitas makes it easy and convenient for our patients to receive the best health care in San Diego. Our doctors are the "go to" experts for the San Diego community. This Patient Service Representative position supports our Pediatrics department and is responsible for providing a high-quality patient check in experience and managing a high volume of patient calls. This busy office helps to support 12 providers and can see over 100 patients a day. The ideal candidate will have a cheerful and professional demeanor while being able to function in a fast-paced medical office. You'll be on the front line for creating a positive Scripps Health experience for our patients while being responsible for the following: * Interacting with patients, payers and providers to gather information for accurate registration including assigning of Medical Record Number, scheduling, referral/authorization, point of service payment collection and arrival/check-in functions. * Responding to customer billing and payment inquires. * Manage the patient check-in and check-out process from start to finish, which includes identification verification; confirming demographic and insurance information; ensuring forms are provided, signed and witnessed at the time of the patient visit and accurately preparing end of day reporting or payment reconciliation as needed. * Escalating billing inquiries as needed. * Accurately scheduling patient appointments. Successful scheduling includes, exhibiting proficiency in appointment scheduling procedures, documentation and routing of messages, scheduling and confirming appointments 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 is able to accurately identify the need to involve leadership in order to resolve concerns. This is a benefitted Part Time (56 hours per pay period), Day Shift position located at Scripps Coastal Medical Center Encinitas. 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. All employees are required to be up-to-date with their scheduled COVID-19 vaccine dose (2nd dose or booster) within 2 weeks of becoming eligible for such dose to be considered compliant. Failure to submit proof of vaccine or booster dose or an approved exemption within that two week window will result in suspension without pay and/or termination for non-compliance. *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.* This post is also available in: 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 or more years of experience customer service or healthcare/medical office environment preferred. * Previous experience working with Pediatrics. * 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. This post is also available in: **12/4/2014**Supervisor, Patient CareEnsures 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 LineAssesses 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.**12/4/2014**Supervisor, Patient CareEnsures 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 LineAssesses 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 magazine's 100 Best Places to Work* Consistently ranked by U.S. News & World Report among the nation's 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

Keywords: Scripps Health, Encinitas , Patient Service Representative - Pediatrics, Other , Encinitas, California