Patient Service Representative - Call Center - San Diego

Patient Service Representative - Call Center - San Diego

This is a full-time position (80 hours per pay period) with a varied schedule located in San Diego. This position has a hybrid work schedule after training is complete. You will enjoy comprehensive benefits that cover health & wellness, career development, and retirement options among other benefits. 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 the Scripps Primary Care Support Services Contact Center as a Patient Service Representative in the Call Center 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 inquiries.
• 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 or more years of 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.

Location: Central San Diego County-SAN DIEGO-SCRIPPS CLINIC SUPPORT SVCS - SORRENTO VALLEY