Scripps Health PATIENT SERVICE REPRESENTATIVE - Orthopedic Surgery (RB) - Full Time - Day in San Diego, California
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.
The duties of the position include: answering on average 100 calls per PSR per day; scheduling appointments, authorization entry; in-basket and work queue monitoring; managing all required AOLs and other forms to ensure reimbursement; paper prep for Ortho, as well as all check-out duties.
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 or more years 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.
/ 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. /
Job: *Access / Business Services
Organization: *Scripps Clinic
Title: PATIENT SERVICE REPRESENTATIVE - Orthopedic Surgery (RB) - Full Time - Day
Location: Central San Diego County-SAN DIEGO-SCRIPPS CLINIC - RANCHO BERNARDO
Requisition ID: 1025814