PATIENT SERVICE REPRESENTATIVE

Scripps Health
United States, California, San Diego
Apr 01, 2025
Description Responsible for interacting with patients, payers and providers to gather information necessary for accurate registration including assigning of appropriate Medical Record Number, scheduling, referral/authorization, point of service payment collection, document collection and arrival/check-in functions. Responds to customer billing and payment inquires as needed. Effectively manages 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; collecting patient payment responsibility and accurately preparing end of day reporting or payment reconciliation as needed. Escalating billing inquiries as needed. Accurately scheduling patient appointments. Successful scheduling includes, but not limited to, exhibiting proficiency in appointment scheduling procedures, accurate documentation and routing of messages, scheduling and confirming appointments according to practice guidelines, entering appropriate insurance, performing Key User duties with minimal errors. May be responsible for initiating and validating referrals/authorizations. Regularly displays 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. Qualifications Required Education/Experience/Specialized Skills: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. Required Certification/Registration: Preferred Education/Experience/Specialized Skills/Certification:1 year experience 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. Job : Business Office Primary Location : Central San Diego County-SAN DIEGO-SCRIPPS CLINIC - MISSION VALLEY Work Locations : SCRIPPS CLINIC - MISSION VALLEY 7565 MISSION VALLEY ROAD SAN DIEGO 92108 Organization : Scripps Clinic Job Posting : Apr 1, 2025, 2:50:02 PM Benefit Status : FT - FULL-TIME WITH BENEFITS Minimum Rate (USD) : 24.91 - Maximum Rate (USD) : 31.45 In compliance with the California Pay Transparency Act, Scripps Health posts the pay range for all jobs. Please note that actual pay will be determined based on relevant experience and internal equity within the pay range. Please also note this range is applicable for employees who reside in California only. A geographical pay differential may be applied for remote employees who reside out of state. Scripps Health strives to ensure that our employees receive equal pay for equal work in line with our commitment to being an equal opportunity employer. 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.