False Submission for the position: Patient Service Representative- Case Management- Torrey Pines - (Job Number 242004516) 852010 true 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 the ... more detailsCase Management team at Scripps Green Hospital as a Patient Service Representative. In this important role, your primary responsibilities will be sending referrals to post-acute providers and placement, coordinating transportation services, creating durable medical equipment referrals and delivering equipment to patients' rooms that is already in house, calling and waiting for insurance authorizations and notification to insurance of stability for patient transfer, sending CMS medical records for discharge appeals, and sending Medi-Cal admin day referrals. General PSR duties may include: Interacting with patients, payers and providers to gather information necessary for accurate registration including assigning of appropriate medical record number, scheduling, and referral/authorization, point of service payment collection, document collection and arrival/check-in functions Responding to 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; 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 is 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 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. This is a Full Time position with a varied schedule and eight hour shifts (primarily 8 AM - 4:30 PM) which include some weekends and holidays, located at Scripps Green Hospital in Torrey Pines/ La Jolla.
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 ICD 9/ ICD 10 codes and CPT/ HCPC Codes and Modifiers. Business Office Central San Diego County-LA JOLLA-SCRIPPS GREEN HOSPITAL SCRIPPS GREEN HOSPITAL (100310)10666 N. TORREY PINES ROADLA JOLLA, 92037 Jul 6, 2024, 7:02:17 AM FT - FULL-TIME WITH BENEFITS 23.92 30.83 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.