Patient Service Representative - Patient Financial Services

Company: Scripps Health
Location: Chula Vista
Posted on: May 19, 2023

Job Description:

Patient Service Representative Patient Financial ServicesThis post is also available in: **Patient Service Representative Patient Financial Services**This post is also available in: Scripps Mercy Hospital Chula Vista serves San Diego Countys fast and growing South Bay communities. Scripps Mercy Hospital Chula Vista is at the forefront of innovative processes. Employees are truly excited about the work environment and describe it as friendly, positive and family oriented. Our vibrant team is dedicated to serving the community with the highest quality of patient care experience. This post is also available in: Location: 435 H STREET, Chula Vista, 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 Chula Vista 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 informationOther 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 Full Time (80 hours every two weeks) benefited position, working 8 hour day shifts on Monday Friday, located at Scripps Mercy Hospital Chula Vista.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 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.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 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

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