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Registration Representative jobs at MemorialCare - 72 jobs

  • Registration Representative

    Memorialcare Health System 4.6company rating

    Registration representative job at MemorialCare

    Title: Registration Representative Department: ER Admitting Status: Full-time Shift: Night Shift (10 hr shifts) Tuesday 5pm-330am; Thursday, Friday, Saturday 7pm-530am. Pay Range: $22.50/hour - $31.57/hour At MemorialCare Health System, we believe in providing extraordinary healthcare to our communities and an exceptional working environment for our employees. Memorial Care stands for excellence in Healthcare. Across our family of medical centers, we support each one of our bright, talented employees in reaching the highest levels of professional development, contribution, collaboration and accountability. Whatever your role and whatever expertise you bring, we are dedicated to helping you achieve your full potential in an environment of respect, innovation and teamwork. Purpose Statement / Position Summary This position requires the full understanding and active participation in fulfilling the mission of Saddleback Memorial Medical Center. It is expected that the employee demonstrate behavior consistent with our core values; Accountability, Best Practices, Compassion and Synergy. The Employee shall support Saddleback Memorial Medical Center's strategic plan and participate in and advocate performance improvement/patient safety activities. Essential Job Outcomes 1. Adheres to department policy of using two identifiers. Also adheres to a verbal verification of armband placement. 2. Avoids HIPAA violations by accurately entering information into the system to avoid passing on defects; such as incorrect PCP, guarantor, etc. 3. Interviews, registers and pre-registers patients timely and accurately. Appropriate level of expertise in Epic, OnBase, RTE and websites to ensure accurate and efficient registrations. 4. Ensures that all registration forms are accurate, complete, scanned and indexed in Epic. 5. Enters important notes in the Referral or Auth/Cert. Utilizes the billing indicator as required. 6. Uses excellent customer service with staff and patients. Maintains effective working relationship with co-workers and others. 7. Collects and posts patient financial responsibility timely and accurately. 8. Participates and supports department specific performance improvement activities, staff meetings, and education/training, projects and staff meetings. 9. Maintains an acceptable accuracy level of 95 % or better by assigning the correct insurance code. 10. Monitors and manages assigned work queues to maximize productivity and meet departmental standards. 11. Adheres to the MHS time and attendance policy #357. Correct entries into MTM minimizing manual clockings. 12. "Other duties as assigned" * Placement in the pay range is based on multiple factors including, but not limited to, relevant years of experience and qualifications. In addition to base pay, there may be additional compensation available for this role, including but not limited to, shift differentials, extra shift incentives, and bonus opportunities. Health and wellness is our passion at MemorialCare-that includes taking good care of employees and their dependents. We offer high quality health insurance plan option. Experience * 1-2 years of experience in hospital admitting, physician office, or equivalent healthcare * Must communicate effectively and clearly both verbally and in writing * Strong customer service skills * General knowledge of insurance payors: PPO, HMO, POS, EPO, Medicare, Medi-Cal, & CalOptima * Bi-lingual (English/Spanish, or English/Vietnamese) preferred * Positive work ethic * General computer skills required including: electronic medical record and Microsoft Office * Knowledge of medical terminology Education * High school graduate preferred * Medical Terminology related course or certificate preferred
    $22.5-31.6 hourly 2d ago
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  • Scheduling Specialist

    Memorialcare 4.6company rating

    Registration representative job at MemorialCare

    Scheduling Specialist - (MEM009436) Description Title: Scheduling SpecialistLocation: Laguna Hills, CADepartment: OncologyStatus: Full-time Shift: Days (8hr shifts) Pay Range: $22. 50 - $32. 57/hour MemorialCare is a nonprofit integrated health system that includes four leading hospitals, award-winning medical groups - consisting of over 200 sites of care, and more than 2,000 physicians throughout Orange and Los Angeles Counties. We are committed to increasing access to patient-centric, affordable, and high-quality healthcare; your personal contributions are integral to MemorialCare's recognition as a market leader and innovator in value-based and other care models. Across our family of medical centers, we support each one of our bright, talented employees in reaching the highest levels of professional development, contribution, collaboration, and accountability. Whatever your role and whatever expertise you bring, we are dedicated to helping you achieve your full potential in an environment of respect, innovation, and teamwork. Essential Job Outcomes 1. Schedule and coordinate patients for specialist in-office care; work with hospital and/or surgery centers block time and providers schedules. 2. Verify patient eligibility/benefits/demographics and enroll in system. 3. Coordinate with patients Primary Care Provider for Pre-Op study requirements. 4. Ensure all referrals are obtained prior to surgery/procedure. 5. Check in all patient appointments once they have arrived for care as well as closes the EPIC EMR encounters once the services have been completed. Sends any referral changes and insurance updates to Referral Coordinator. 6. Send expired referral information to the appropriate Referral Coordinator to be extended. 7. Maintain knowledge of computer scheduling functions using proper registration protocols with all new patients. Edit existing patient data as needed and utilize appropriate visit types. 8. Review pre-visit instructions with patient in office and/or over the phone to ensure he/she is properly prepared for the visit. Communicate effectively with patients regarding changes in schedule, issues, and physician office concerns. 9. One week prior to procedure, contact patient to ensure all necessary information, forms and procedure preparations are completed. 10. One day before procedure/appointment, contact patient to confirm appointment and review any necessary instructions. 11. Assemble information packets of medical group and their protocols; offer to patients after scheduling their procedure. 12. Process specialist requests correctly and in a timely manner. 13. Respond in a timely manner, to inquiries about medical group concerning insurance coverage, specialty providers, claim issues, disability questions, and general information. 14. Work in conjunction with other departments to educate patients, physicians and staff about HMO and EPO protocols/benefits. 15. Coordinate ambulatory care discharge activities requested by physician. Review and promote compliance with patient care plan. 16. Document in patient chart in a timely manner. 17. Obtain outside medical records/reports as required and provide to physician as needed. 18. Perform any additional or miscellaneous duties as requested by the management team within the scope of knowledge and ability. 19. “Other duties as assigned”. *Placement in the pay range is based on multiple factors including, but not limited to, relevant years of experience and qualifications. In addition to base pay, there may be additional compensation available for this role, including but not limited to, shift differentials, extra shift incentives, and bonus opportunities. Health and wellness is our passion at MemorialCare-that includes taking good care of employees and their dependents. We offer high quality health insurance plan options, so you can select the best choice for your family. And there's more. . . Check out our MemorialCare Benefits for more information about our Benefits and Rewards. Qualifications Experience• Minimum one (1) year experience in medical field (Medical Assistant, Customer Service Representative, Front Office Assistant, or other) in ambulatory care preferred. • Prior medical office experience preferred. • Must have a minimum of 1 year of customer service in any field and have worked with computers. Education• High School graduate or equivalent required. • Administrative Medical Assisting Certificate preferred. • Medical Terminology Certificate preferred. • Current BLS for Healthcare Provider required. Primary Location: United States-California-Laguna HillsJob: Admitting, Registration, SchedOrganization: MemorialCare Medical FoundationSchedule: Full-time Employee Status: RegularJob Level: StaffJob Posting: Jan 21, 2026, 8:54:22 PMShift: Day JobScheduled Shift Start Time: M to F 8:00am - Scheduled Shift End Time: M to F 5:00pmDepartment Name: Oncology
    $22.5-32.6 hourly Auto-Apply 6d ago
  • Registration Clerk

    Sutter Health 4.8company rating

    Auburn, CA jobs

    We are so glad you are interested in joining Sutter Health! Organization: SAFH-Sutter Auburn Faith Hospital Serves as the face to face point of contact for the patient at a client location. Obtains all necessary information to register and financially clear patients. Greets patients/family members and obtains and/or verifies relevant information in the process of registering financially clearing patients for service delivery. Enhances the patient experience throughout all patient interactions by serving as the customer service point of contact at the point of service by demonstrating knowledge of Sutter's Health system and service offerings. Responsible for supporting the success of a high-performing shared services organization by helping to champion and drive the long-term MFSS vision. Helps foster an environment in which continuous improvement in business processes and services is welcomed and recognized. Participates in programs and in using tools in support of building a high performance culture via the standard MFSS responsibilities (e.g. performance measurement, people development, customer relationship management, etc.). Job Description: EDUCATION Equivalent experience will be accepted in lieu of the required degree or diploma. HS Diploma Associate's or equivalent education/experience PREFERRED EXPERIENCE AS TYPICALLY ACQUIRED IN: Experience within a hospital or clinic environment, an insurance company, managed care organization or other financial service setting, performing financial counseling, financial clearance and/or customer service activities as typically acquired in two years Completion of regulatory/mandatory certifications and skills validation competencies preferred SKILLS AND KNOWLEDGE General knowledge of patient access financial counseling functions in acute and non-acute settings preferred Working knowledge of medical terminology desired Working knowledge and understanding of insurance terminology desired EMTALA and Consent Laws knowledge Licensure Excellent time management skills and the ability to manage frequent in-person patient contacts while effective maintaining and documenting data in the patient registration systems Demonstrated ability to work in multiple computer systems, such as patient registration/accounting systems, telephone consoles, document imaging, scanning, payment posting, proprietary payer websites and data quality monitoring, both accurately and efficiently Strong data entry skills required Excellent verbal and written communication and active listening skills Interpersonal skills necessary in dealing with internal and external customers Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Sutter Health Accuracy and attentiveness to detail required Strong decision making and problem solving skills Must be able to set and organize own work priorities, and adapt to change Must be able to work concurrently on a variety of tasks/projects in an environment that may be stressful with individuals having diverse personalities and work styles Ability to meet or exceed targeted customer service, productivity and quality standards Fluency in both English and a minimum of one other language is preferred for this role to allow Sutter Health to better serve the community and patient population Computer proficiency skills required Requires the ability to work with and maintain confidential information Job Shift: Varied Schedule: Per Diem/Casual Shift Hours: 8 Days of the Week: Variable Weekend Requirements: Rotating Weekends Benefits: No Unions: Yes Position Status: Non-Exempt Weekly Hours: 0 Employee Status: Per Diem/Casual Employees of Sutter Health and its entities may handle hazardous drugs in the course of their work, including patient care, which requires them to manage, store, prepare, receive, unpack, transport, dispose of, or administer drugs identified as hazardous or potentially hazardous by the National Institute for Occupational Safety and Health (NIOSH) and in accordance with the USP 800 guidelines. Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans. Pay Range is $27.55 to $33.58 / hour The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate's experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health's comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.
    $27.6-33.6 hourly 12d ago
  • Scheduling Specialist - Vascular Surgery

    Scripps Health 4.3company rating

    San Diego, CA jobs

    This position is exclusively available to Vascular Program staff transitioning to Scripps Health. Applications from individuals outside this group will not be considered. 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. Mentors and trains staff on departmental procedures. Responsible for accurately scheduling and re-scheduling complex patient procedures and appointments. Successful scheduling includes, but not limited to, exhibiting proficiency in the scheduling procedures, scheduling and confirming appointments according to practice guidelines, entering appropriate insurance, initiating authorizations and referrals, performing Key User duties with minimal errors. Accurately documents patient to provider communication, assessing urgency and escalating as appropriate. May manage 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; verifying coverage including benefits, authorization, pre-determination, payer specific policy exclusions or limitations to coverage, collecting any patient responsibility and accurately preparing end of day reporting or payment reconciliation as needed. 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. Experience/Specialized Skills: Must possess 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. 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 are required.\: Preferred Education/Experience/Specialized Skills/Certification: 2 year experience customer service or healthcare/medical office environment.
    $41k-50k yearly est. Auto-Apply 3d ago
  • Patient Service Representative - Neurology - Torrey Pines

    Scripps Health 4.3company rating

    San Diego, CA jobs

    Caring for San Diegans since 1924, Scripps Clinic is San Diego's first choice for exceptional primary care and highly specialized and coordinated specialty care. Scripps Clinic offers a comprehensive range of medical and surgical services that are nationally recognized for quality, excellence and innovation. From primary to specialty care, our team-based model is designed to provide the best possible care and outcomes for you and your family. More than 900 providers and physicians provide 1.5 million patient visits a year coordinated through an integrated electronic health record. This is a Full-Time position (80 hours per pay period) with a Monday - Friday, 8AM - 5PM, schedule located at our Scripps Clinic in Torrey Pines. You will enjoy comprehensive benefits that cover health & wellness, career development, and retirement options among other benefits. Join a caring team supporting Scripps Clinic - Torrey Pines as a Patient Service Representative in the Neurology department. You'll be on the front line for creating a positive Scripps Health experience for our patients while being responsible for duties such as the following: * Interacting with patients and providers to gather information for accurate registration. Assigning of Medical Record Number, appointment scheduling, point of service payment collection, document collection and check-out functions. * Responding to customer billing and payment inquires. * Effectively managing the check in or check out process, which includes identification verification; confirming demographic and insurance information; ensuring appropriate forms are provided, signed, and witnessed at the time of the patient visit and accurately preparing end of day reporting or payment reconciliation. * Scheduling and confirming appointments in person or over the phone 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 being able to identify the need to involve leadership to resolve concerns. 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. 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. Position Pay Range: $25.95-$32.56/hour
    $26-32.6 hourly 5d ago
  • Patient Service Representative - Neurology / Cardiology / Nephrology - Encinitas

    Scripps Health 4.3company rating

    Encinitas, CA jobs

    Caring for San Diegans since 1924, Scripps Clinic is San Diego's first choice for exceptional primary care and highly specialized and coordinated specialty care. Scripps Clinic offers a comprehensive range of medical and surgical services that are nationally recognized for quality, excellence and innovation. From primary to specialty care, our team-based model is designed to provide the best possible care and outcomes for you and your family. More than 900 providers and physicians provide 1.5 million patient visits a year coordinated through an integrated electronic health record. This is a Full-Time position (80 hours per pay period) with a Monday - Friday, 8AM - 5PM, schedule located at our Scripps Clinic in Encinitas. You will enjoy comprehensive benefits that cover health & wellness, career development, and retirement options among other benefits. Why join Scripps Health? At Scripps Health, your ambition is empowered and your abilities are appreciated: * Nearly a quarter of our employees have been with Scripps Health for over 10 years. * Scripps is a Great Place to Work Certified company for 2025. * Scripps Health has been consistently ranked as a top employer for women, millennials, diversity, and as an overall workplace by various national publications. * Becker's Healthcare ranked Scripps Health on its 2024 list of 150 top places to work in health care. * We have transitional and professional development programs to create a learning environment that enables you to thrive in your specific field as well as in your overall career. * Our specialties have been nationally recognized for quality in areas such as cardiovascular care, oncology, orthopedics, geriatrics, obstetrics and gynecology, and gastroenterology. Join a caring team supporting Scripps Clinic - Encinitas as a Patient Service Representative in the Neurology, Nephrology, or Cardiology department. You'll be on the front line for creating a positive Scripps Health experience for our patients while being responsible for duties such as the following: * Interacting with patients and providers to gather information for accurate registration. Assigning of Medical Record Number, appointment scheduling, point of service payment collection, document collection and check-out functions. * Responding to customer billing and payment inquires. * Effectively managing the check in or check out process, which includes identification verification; confirming demographic and insurance information; ensuring appropriate forms are provided, signed, and witnessed at the time of the patient visit and accurately preparing end of day reporting or payment reconciliation. * Scheduling and confirming appointments in person or over the phone 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 being able to identify the need to involve leadership to resolve concerns. 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 customer service or a 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. 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. Position Pay Range: $25.95-$32.56/hour
    $26-32.6 hourly 3d ago
  • Patient Service Representative - OB/GYN - Oceanside

    Scripps Health 4.3company rating

    Oceanside, CA jobs

    Scripps Coastal Medical Center makes it easy and convenient for our community to receive exceptional health care in San Diego. Our primary care physicians and their teams provide annual exams, preventive health screenings, wellness information and diagnostic services for you and your family. With offices throughout San Diego County, our doctors specialize in family medicine, internal medicine, pediatrics, and obstetrics and gynecology. Some locations also provide rheumatology and orthopedics care. When further specialty care is needed, you have access to an extensive network of medical experts throughout the region. Scripps also provides health education resources, including weight management programs, nutrition and fitness classes, and programs for chronic conditions, such as diabetes. This is a Full-Time position (80 hours per pay period) with a Monday - Friday, 8AM - 5PM, schedule located at our Scripps Coastal Medical Center in Oceanside. You will enjoy comprehensive benefits that cover health & wellness, career development, and retirement options among other benefits. Why join Scripps Health? At Scripps Health, your ambition is empowered and your abilities are appreciated: * Nearly a quarter of our employees have been with Scripps Health for over 10 years. * Scripps is a Great Place to Work Certified company for 2025. * Scripps Health has been consistently ranked as a top employer for women, millennials, diversity, and as an overall workplace by various national publications. * Becker's Healthcare ranked Scripps Health on its 2024 list of 150 top places to work in health care. * We have transitional and professional development programs to create a learning environment that enables you to thrive in your specific field as well as in your overall career. * Our specialties have been nationally recognized for quality in areas such as cardiovascular care, oncology, orthopedics, geriatrics, obstetrics and gynecology, and gastroenterology. Join a caring team supporting Scripps Coastal Medical Center Oceanside as a Patient Service Representative in the OB/GYN department. You'll be on the front line for creating a positive Scripps Health experience for our patients while being responsible for duties such as the following: * Interacting with patients and providers to gather information for accurate registration. Assigning of Medical Record Number, appointment scheduling, point of service payment collection, document collection and check-out functions. * Responding to customer billing and payment inquires. * Effectively managing the check in or check out process, which includes identification verification; confirming demographic and insurance information; ensuring appropriate forms are provided, signed, and witnessed at the time of the patient visit and accurately preparing end of day reporting or payment reconciliation. * Scheduling and confirming appointments in person or over the phone 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 being able to identify the need to involve leadership to resolve concerns. 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 customer service or a 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. 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. Position Pay Range: $25.95-$32.56/hour
    $26-32.6 hourly 5d ago
  • Insurance Verification Specialist: Patient Accounting

    Hoag 4.8company rating

    Costa Mesa, CA jobs

    Primary Duties and Responsibilities The Insurance Verification Specialist verifies insurance and benefit coverage for services in assigned department(s). This role works directly with patients, insurance companies, and clinical departments to verify insurance coverage, obtain proper authorizations, and ensure timely reimbursement of services. Reviews physician orders for medical necessity and accuracy and provides clinical documentation to support proper authorization. Accurately and timely codes insurance in the billing system. Provides patient education of service of benefits, status of pending or denied authorizations and gets assistance in resolving. Determines copayment and deductible amounts, maintains charge entry and reconciles daily charges. Accurately enters insurance benefit and authorization information into patient accounts. Seeks assistance as needed to maintain service levels. May arrange for peer-to-peer evaluations between physician offices and insurance companies as requested. Performs other duties as assigned. Education and Experience High school diploma or equivalent required. Two to three years' experience in patient access or related healthcare experience required. Intermediate knowledge of Windows computers and data entry required. Experience with billing, insurance verification, coding, authorization guidelines, ICD 10 and CPT-4 coding, and/or medical terminology preferred. Degree and/or certificate in related field preferred. Additional department specific requirements are: Outpatient Treatment Center: Two to three years' experience in hospital registration with strong emphasis in Oncology preferred. Radiation Oncology: Two to three years' experience in hospital registration with strong emphasis in Oncology preferred. License Required N/A License Preferred N/A Certifications Required N/A Certifications Preferred N/A
    $29k-33k yearly est. Auto-Apply 7d ago
  • Insurance Verification Specialist - Urology - Newport Beach

    Hoag 4.8company rating

    Newport Beach, CA jobs

    Primary Duties and Responsibilities The Insurance Verification Specialist verifies insurance and benefit coverage for services in assigned department(s). This role works directly with patients, insurance companies, and clinical departments to verify insurance coverage, obtain proper authorizations, and ensure timely reimbursement of services. Reviews physician orders for medical necessity and accuracy and provides clinical documentation to support proper authorization. Accurately and timely codes insurance in the billing system. Education and Experience High school diploma or equivalent required. Two to three years' experience in patient access or related healthcare experience required. Intermediate knowledge of Windows computers and data entry required. Experience with billing, insurance verification, coding, authorization guidelines, ICD 10 and CPT-4 coding, and/or medical terminology preferred. Degree and/or certificate in related field preferred. Additional department specific requirements are: Outpatient Treatment Center: Two to three years' experience in hospital registration with strong emphasis in Oncology preferred. Radiation Oncology: Two to three years' experience in hospital registration with strong emphasis in Oncology preferred. License Required N/A License Preferred N/A Certifications Required N/A Certifications Preferred N/A Provides patient education of service of benefits, status of pending or denied authorizations and gets assistance in resolving. Determines copayment and deductible amounts, maintains charge entry and reconciles daily charges. Accurately enters insurance benefit and authorization information into patient accounts. Seeks assistance as needed to maintain service levels. May arrange for peer-to-peer evaluations between physician offices and insurance companies as requested. Performs other duties as assigned.
    $29k-33k yearly est. Auto-Apply 60d+ ago
  • Insurance Verification Specialist III: Oncology

    Hoag 4.8company rating

    Newport Beach, CA jobs

    . Primary Duties And Responsibilities The Insurance Verification Specialist verifies insurance and benefit coverage for services in assigned department(s). This role works directly with patients, insurance companies, and clinical departments to verify insurance coverage, obtain proper authorizations, and ensure timely reimbursement of services. He/she reviews physician orders for medical necessity and accuracy and provides clinical documentation to support proper authorization. Accurately and timely codes insurance in the billing system. Provides patient education of service of benefits, status of pending or denied authorizations, and gets assistance in resolving. Determines copayment and deductible amounts, maintains charge entry, and reconciles daily charges. Education and Experience High school diploma or equivalent required. Two to three years' experience in patient access or related healthcare experience required. Two years' insurance verification experience required. Intermediate knowledge of Windows computers and data entry required. Experience with billing, insurance verification, coding, authorization guidelines, ICD 10 and CPT-4 coding, and/or medical terminology preferred. Degree and/or certificate or formal training in related field preferred. Additional department specific requirements are: Outpatient Treatment Center/Radiation Oncology: Two to three years' experience in hospital registration with strong emphasis in Oncology preferred. Accurately enters insurance benefit and authorization information into patient accounts. Seeks assistance as needed to maintain service levels. May arrange for peer-to-peer evaluations between physician offices and insurance companies as requested. Performs other duties as assigned. Handles more complex accounts and higher volumes. Tightly monitors day-day inventory to ensure insurance authorizations are in place before services are rendered. Maintains productivity expectations with low error rates. Verifies that scheduled services match with the Physician orders on file. Interprets medical policies and Local Coverage Determination (LCD's) to determine coverage requirements and to facilitate proper authorizations. Works all STAT requests within 48 hours. Serves as a Subject Matter Expert (SME) and internal resource for the team. Participates in process improvement projects.
    $29k-33k yearly est. Auto-Apply 19d ago
  • Patient Service Specialist - ED - La Jolla

    Scripps Health 4.3company rating

    San Diego, CA jobs

    Scripps Memorial Hospital La Jolla has served the greater San Diego community since 1924. For more than a century, we continue to provide distinguished care, including several nationally ranked specialty programs. Scripps La Jolla was the first in San Diego to be designated a Magnet Hospital by the American Nursing Association. Scripps La Jolla shares a campus with the Barbey Family Emergency and Trauma Center, a Level I Trauma Center, and the renowned Prebys Cardiovascular Institute. We're also home to notable specialty programs, including cancer care, heart surgery, orthopedic surgery, labor and delivery services (including a Level III neonatal intensive care unit) and a nationally designated Comprehensive Stroke Center. This is a Full-Time position (72 hours per pay period) with a Varied Shift schedule (includes some weekends and holidays), located at our Scripps Memorial Hospital La Jolla. You will enjoy comprehensive benefits that cover health & wellness, career development, and retirement options among other benefits. Why join Scripps Health? At Scripps Health, your ambition is empowered and your abilities are appreciated: * Nearly a quarter of our employees have been with Scripps Health for over 10 years. * Scripps is a Great Place to Work Certified company for 2025. * Scripps Health has been consistently ranked as a top employer for women, millennials, diversity, and as an overall workplace by various national publications. * Becker's Healthcare ranked Scripps Health on its 2024 list of 150 top places to work in health care. * We have transitional and professional development programs to create a learning environment that enables you to thrive in your specific field as well as in your overall career. * Our specialties have been nationally recognized for quality in areas such as cardiovascular care, oncology, orthopedics, geriatrics, obstetrics and gynecology, and gastroenterology. Join a caring team supporting Scripps Memorial Hospital La Jolla as a Patient Service Specialist - ED in the Access Services/ED department. You'll be on the front line for creating a positive Scripps Health experience for our patients while being responsible for duties such as the following: * Interacting with patients, payers, and providers to gather information necessary for accurate registration including assigning of appropriate Medical Record Number, referral/authorization, point of service payment collection, document collection and arrival/check-in functions. * Receiving and routing messages received in the department appropriately as well as manages 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; verifying coverage including benefits, authorization, pre-determination, payer specific policy exclusions or limitations to coverage, collecting any patient responsibility and accurately preparing end of day reporting or payment reconciliation as needed. * Assisting patients with HPE eligibility, discussing payment arrangement options including financial assistance information, providing price estimates. * Accurately scheduling and re-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, initiating authorizations and referrals, performing Key User duties with minimal errors. * Coordinating scheduling, meeting and travel planning needs, department communication as needed. May assist in gathering necessary reports, statistics, outcomes for the department as needed. * 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 to resolve concerns. * Acting as a member of the patient care team by supporting the clinical care staff in the care of the patient. 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. * Able to adapt, prioritize and meet deadlines. Preferred Qualifications: * 2 years of experience in a customer service or healthcare/medical office environment. * 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. 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. Position Pay Range: $27.24-$35.88/hour
    $27.2-35.9 hourly 3d ago
  • Patient Service Specialist - ED - Hillcrest

    Scripps Health 4.3company rating

    San Diego, CA jobs

    Scripps Mercy Hospital has served central and downtown San Diego since 1890 and is the oldest medical center in the county. The San Diego campus is located near the corner of 5th Avenue and Washington Street in Hillcrest. Scripps Mercy Hospital consists of two campuses in San Diego and Chula Vista. Scripps Mercy Hospital San Diego's campus includes the O'Toole Breast Care Center, a 24-hour emergency room that is a Level I Trauma Center, outpatient physical rehabilitation, minimally invasive robotic surgery and our childbirth unit (including a Level II neonatal intensive care unit). This is a non-benefitted Casual/Per Diem position, working 12 hour shifts on variable days. Flexible availability is a must (weekends/holidays, etc). This position is located at Scripps Mercy San Diego in Hillcrest. You will enjoy comprehensive benefits that cover health & wellness, career development, and retirement options among other benefits. Join a winning team at Scripps Mercy Hospital San Diego supporting the Access & ED department as a Patient Service Specialist - ED. Working together, you'll bring your expertise, compassion, and excellence to all we do. The ideal candidate will thrive in a fast-paced environment and enjoy providing world class customer service. As a Patient Service Specialist - ED, you will be responsible for: * Interacting with patients, payers, and providers to gather information necessary for accurate registration including assigning of appropriate Medical Record Number, referral/authorization, point of service payment collection, document collection and arrival/check-in functions. * Receiving and routing messages received in the department appropriately as well as manages 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; verifying coverage including benefits, authorization, pre-determination, payer specific policy exclusions or limitations to coverage, collecting any patient responsibility and accurately preparing end of day reporting or payment reconciliation as needed. * Assisting patients with HPE eligibility, discussing payment arrangement options including financial assistance information, providing price estimates. * Accurately scheduling and re-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, initiating authorizations and referrals, performing Key User duties with minimal errors. * Coordinating scheduling, meeting and travel planning needs, department communication as needed. May assist in gathering necessary reports, statistics, outcomes for the department as needed. * 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 to resolve concerns. * Acting as a member of the patient care team by supporting the clinical care staff in the care of the patient. 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. * Able to adapt, prioritize and meet deadlines. Preferred Qualifications: * 2 years of experience in a customer service or healthcare/medical office environment. * 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. 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. Position Pay Range: $27.24-$35.88/hour
    $27.2-35.9 hourly 37d ago
  • Patient Service Specialist - Admitting/Access - Hillcrest

    Scripps Health 4.3company rating

    San Diego, CA jobs

    Scripps Mercy Hospital has served central and downtown San Diego since 1890 and is the oldest medical center in the county. The San Diego campus is located near the corner of 5th Avenue and Washington Street in Hillcrest. Scripps Mercy Hospital consists of two campuses in San Diego and Chula Vista. Scripps Mercy Hospital San Diego's campus includes the O'Toole Breast Care Center, a 24-hour emergency room that is a Level I Trauma Center, outpatient physical rehabilitation, minimally invasive robotic surgery and our childbirth unit (including a Level II neonatal intensive care unit). This is a benefitted Full Time position (80 hours per pay period) with a varied schedule located at our Scripps Mercy Hospital San Diego in Hillcrest. You will enjoy comprehensive benefits that cover health & wellness, career development, and retirement options among other benefits. Why join Scripps Health? At Scripps Health, your ambition is empowered and your abilities are appreciated: * Nearly a quarter of our employees have been with Scripps Health for over 10 years. * Scripps is a Great Place to Work Certified company for 2025. * Scripps Health has been consistently ranked as a top employer for women, millennials, diversity, and as an overall workplace by various national publications. * Becker's Healthcare ranked Scripps Health on its 2024 list of 150 top places to work in health care. * We have transitional and professional development programs to create a learning environment that enables you to thrive in your specific field as well as in your overall career. * Our specialties have been nationally recognized for quality in areas such as cardiovascular care, oncology, orthopedics, geriatrics, obstetrics and gynecology, and gastroenterology. Join a caring team supporting Scripps Mercy Hospital San Diego as a Patient Service Specialist in the Patient Financial Services/Access & Admitting department. You'll be on the front line for creating a positive Scripps Health experience for our patients while being responsible for duties such as the following: * Interacting with patients, payers, and providers to gather information necessary for accurate registration including assigning of appropriate Medical Record Number, referral/authorization, point of service payment collection, document collection and arrival/check-in functions. * Receiving and routing messages received in the department appropriately as well as manages 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; verifying coverage including benefits, authorization, pre-determination, payer specific policy exclusions or limitations to coverage, collecting any patient responsibility and accurately preparing end of day reporting or payment reconciliation as needed. * Assisting patients with HPE eligibility, discussing payment arrangement options including financial assistance information, providing price estimates. * 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 to resolve concerns. * Acting as a member of the patient care team by supporting the clinical care staff in the care of the patient. 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. * Able to adapt, prioritize and meet deadlines. Preferred Qualifications: * 2 years of experience in customer service or healthcare/medical office environment. * 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. 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. Position Pay Range: $26.45-$34.33/hour
    $26.5-34.3 hourly 5d ago
  • Patient Service Representative - Neurology / Cardiology / Nephrology - Encinitas

    Scripps Health 4.3company rating

    Carlsbad, CA jobs

    This is a Full-Time position (80 hours per pay period) with a Monday - Friday, 8AM - 5PM, schedule located at our Scripps Clinic in Encinitas. You will enjoy comprehensive benefits that cover health & wellness, career development, and retirement options among other benefits. Why join Scripps Health? At Scripps Health, your ambition is empowered and your abilities are appreciated: Nearly a quarter of our employees have been with Scripps Health for over 10 years. Scripps is a Great Place to Work Certified company for 2025. Scripps Health has been consistently ranked as a top employer for women, millennials, diversity, and as an overall workplace by various national publications. Becker's Healthcare ranked Scripps Health on its 2024 list of 150 top places to work in health care. We have transitional and professional development programs to create a learning environment that enables you to thrive in your specific field as well as in your overall career. Our specialties have been nationally recognized for quality in areas such as cardiovascular care, oncology, orthopedics, geriatrics, obstetrics and gynecology, and gastroenterology. Join a caring team supporting Scripps Clinic - Encinitas as a Patient Service Representative in the Neurology, Nephrology, or Cardiology department. You'll be on the front line for creating a positive Scripps Health experience for our patients while being responsible for duties such as the following: Interacting with patients and providers to gather information for accurate registration. Assigning of Medical Record Number, appointment scheduling, point of service payment collection, document collection and check-out functions. Responding to customer billing and payment inquires. Effectively managing the check in or check out process, which includes identification verification; confirming demographic and insurance information; ensuring appropriate forms are provided, signed, and witnessed at the time of the patient visit and accurately preparing end of day reporting or payment reconciliation. Scheduling and confirming appointments in person or over the phone 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 being able to identify the need to involve leadership to resolve concerns. 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 customer service or a 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.
    $32k-37k yearly est. Auto-Apply 25d ago
  • Patient Service Representative - Neurology - Torrey Pines

    Scripps Health 4.3company rating

    San Diego, CA jobs

    This is a Full-Time position (80 hours per pay period) with a Monday - Friday, 8AM - 5PM, schedule located at our Scripps Clinic in Torrey Pines. You will enjoy comprehensive benefits that cover health & wellness, career development, and retirement options among other benefits. Join a caring team supporting Scripps Clinic - Torrey Pines as a Patient Service Representative in the Neurology department. You'll be on the front line for creating a positive Scripps Health experience for our patients while being responsible for duties such as the following: Interacting with patients and providers to gather information for accurate registration. Assigning of Medical Record Number, appointment scheduling, point of service payment collection, document collection and check-out functions. Responding to customer billing and payment inquires. Effectively managing the check in or check out process, which includes identification verification; confirming demographic and insurance information; ensuring appropriate forms are provided, signed, and witnessed at the time of the patient visit and accurately preparing end of day reporting or payment reconciliation. Scheduling and confirming appointments in person or over the phone 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 being able to identify the need to involve leadership to resolve concerns. 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.
    $32k-37k yearly est. Auto-Apply 6d ago
  • Patient Service Representative - Vascular Surgery

    Scripps Health 4.3company rating

    San Diego, CA jobs

    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. 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. This position is exclusively available to Vascular Program staff transitioning to Scripps Health. Applications from individuals outside this group will not be considered. 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.
    $32k-37k yearly est. Auto-Apply 3d ago
  • Patient Service Representative - OB/GYN - Oceanside

    Scripps Health 4.3company rating

    Oceanside, CA jobs

    This is a Full-Time position (80 hours per pay period) with a Monday - Friday, 8AM - 5PM, schedule located at our Scripps Coastal Medical Center in Oceanside. You will enjoy comprehensive benefits that cover health & wellness, career development, and retirement options among other benefits. Why join Scripps Health? At Scripps Health, your ambition is empowered and your abilities are appreciated: Nearly a quarter of our employees have been with Scripps Health for over 10 years. Scripps is a Great Place to Work Certified company for 2025. Scripps Health has been consistently ranked as a top employer for women, millennials, diversity, and as an overall workplace by various national publications. Becker's Healthcare ranked Scripps Health on its 2024 list of 150 top places to work in health care. We have transitional and professional development programs to create a learning environment that enables you to thrive in your specific field as well as in your overall career. Our specialties have been nationally recognized for quality in areas such as cardiovascular care, oncology, orthopedics, geriatrics, obstetrics and gynecology, and gastroenterology. Join a caring team supporting Scripps Coastal Medical Center Oceanside as a Patient Service Representative in the OB/GYN department. You'll be on the front line for creating a positive Scripps Health experience for our patients while being responsible for duties such as the following: Interacting with patients and providers to gather information for accurate registration. Assigning of Medical Record Number, appointment scheduling, point of service payment collection, document collection and check-out functions. Responding to customer billing and payment inquires. Effectively managing the check in or check out process, which includes identification verification; confirming demographic and insurance information; ensuring appropriate forms are provided, signed, and witnessed at the time of the patient visit and accurately preparing end of day reporting or payment reconciliation. Scheduling and confirming appointments in person or over the phone 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 being able to identify the need to involve leadership to resolve concerns. 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 customer service or a 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.
    $32k-37k yearly est. Auto-Apply 17d ago
  • Patient Service Specialist - ED - La Jolla

    Scripps Health 4.3company rating

    San Diego, CA jobs

    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. Able to adapt, prioritize and meet deadlines. Preferred Qualifications: 2 years of experience in a customer service or healthcare/medical office environment. 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 is a Full-Time position (72 hours per pay period) with a Varied Shift schedule (includes some weekends and holidays), located at our Scripps Memorial Hospital La Jolla. You will enjoy comprehensive benefits that cover health & wellness, career development, and retirement options among other benefits. Why join Scripps Health? At Scripps Health, your ambition is empowered and your abilities are appreciated: Nearly a quarter of our employees have been with Scripps Health for over 10 years. Scripps is a Great Place to Work Certified company for 2025. Scripps Health has been consistently ranked as a top employer for women, millennials, diversity, and as an overall workplace by various national publications. Becker's Healthcare ranked Scripps Health on its 2024 list of 150 top places to work in health care. We have transitional and professional development programs to create a learning environment that enables you to thrive in your specific field as well as in your overall career. Our specialties have been nationally recognized for quality in areas such as cardiovascular care, oncology, orthopedics, geriatrics, obstetrics and gynecology, and gastroenterology. Join a caring team supporting Scripps Memorial Hospital La Jolla as a Patient Service Specialist - ED in the Access Services/ED department. You'll be on the front line for creating a positive Scripps Health experience for our patients while being responsible for duties such as the following: Interacting with patients, payers, and providers to gather information necessary for accurate registration including assigning of appropriate Medical Record Number, referral/authorization, point of service payment collection, document collection and arrival/check-in functions. Receiving and routing messages received in the department appropriately as well as manages 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; verifying coverage including benefits, authorization, pre-determination, payer specific policy exclusions or limitations to coverage, collecting any patient responsibility and accurately preparing end of day reporting or payment reconciliation as needed. Assisting patients with HPE eligibility, discussing payment arrangement options including financial assistance information, providing price estimates. Accurately scheduling and re-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, initiating authorizations and referrals, performing Key User duties with minimal errors. Coordinating scheduling, meeting and travel planning needs, department communication as needed. May assist in gathering necessary reports, statistics, outcomes for the department as needed. 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 to resolve concerns. Acting as a member of the patient care team by supporting the clinical care staff in the care of the patient.
    $34k-39k yearly est. Auto-Apply 13d ago
  • Patient Service Specialist - Admitting/Access - Hillcrest

    Scripps Health 4.3company rating

    San Diego, CA jobs

    This is a benefitted Full Time position (80 hours per pay period) with a varied schedule located at our Scripps Mercy Hospital San Diego in Hillcrest. You will enjoy comprehensive benefits that cover health & wellness, career development, and retirement options among other benefits. Why join Scripps Health? At Scripps Health, your ambition is empowered and your abilities are appreciated: Nearly a quarter of our employees have been with Scripps Health for over 10 years. Scripps is a Great Place to Work Certified company for 2025. Scripps Health has been consistently ranked as a top employer for women, millennials, diversity, and as an overall workplace by various national publications. Becker's Healthcare ranked Scripps Health on its 2024 list of 150 top places to work in health care. We have transitional and professional development programs to create a learning environment that enables you to thrive in your specific field as well as in your overall career. Our specialties have been nationally recognized for quality in areas such as cardiovascular care, oncology, orthopedics, geriatrics, obstetrics and gynecology, and gastroenterology. Join a caring team supporting Scripps Mercy Hospital San Diego as a Patient Service Specialist in the Patient Financial Services/Access & Admitting department. You'll be on the front line for creating a positive Scripps Health experience for our patients while being responsible for duties such as the following: Interacting with patients, payers, and providers to gather information necessary for accurate registration including assigning of appropriate Medical Record Number, referral/authorization, point of service payment collection, document collection and arrival/check-in functions. Receiving and routing messages received in the department appropriately as well as manages 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; verifying coverage including benefits, authorization, pre-determination, payer specific policy exclusions or limitations to coverage, collecting any patient responsibility and accurately preparing end of day reporting or payment reconciliation as needed. Assisting patients with HPE eligibility, discussing payment arrangement options including financial assistance information, providing price estimates. 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 to resolve concerns. Acting as a member of the patient care team by supporting the clinical care staff in the care of the patient. 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. Able to adapt, prioritize and meet deadlines. Preferred Qualifications: 2 years of experience in customer service or healthcare/medical office environment. 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.
    $34k-39k yearly est. Auto-Apply 6d ago
  • Patient Service Specialist - ED - Hillcrest

    Scripps Health 4.3company rating

    San Diego, CA jobs

    This is a benefitted Part Time position, working 12 hour shifts on variable days. Flexible availability is a must (weekends/holidays, etc). This position is located at Scripps Mercy San Diego in Hillcrest. You will enjoy comprehensive benefits that cover health & wellness, career development, and retirement options among other benefits. Join a winning team at Scripps Mercy Hospital San Diego supporting the Access & ED department as a Patient Service Specialist - ED. Working together, you'll bring your expertise, compassion, and excellence to all we do. The ideal candidate will thrive in a fast-paced environment and enjoy providing world class customer service. As a Patient Service Specialist - ED, you will be responsible for\: Interacting with patients, payers, and providers to gather information necessary for accurate registration including assigning of appropriate Medical Record Number, referral/authorization, point of service payment collection, document collection and arrival/check-in functions. Receiving and routing messages received in the department appropriately as well as manages 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; verifying coverage including benefits, authorization, pre-determination, payer specific policy exclusions or limitations to coverage, collecting any patient responsibility and accurately preparing end of day reporting or payment reconciliation as needed. Assisting patients with HPE eligibility, discussing payment arrangement options including financial assistance information, providing price estimates. Accurately scheduling and re-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, initiating authorizations and referrals, performing Key User duties with minimal errors. Coordinating scheduling, meeting and travel planning needs, department communication as needed. May assist in gathering necessary reports, statistics, outcomes for the department as needed. 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 to resolve concerns. Acting as a member of the patient care team by supporting the clinical care staff in the care of the patient. 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. Able to adapt, prioritize and meet deadlines. Preferred Qualifications: 2 years of experience in a customer service or healthcare/medical office environment. 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.
    $34k-39k yearly est. Auto-Apply 4d ago

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