Patient Account Specialist job vacancy in Scripps Health – Jobs in California

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Job Details
Company Name : Scripps Health
Company Location : San Diego, CA 92121
Job Position : Patient Account Specialist
Job Category : Jobs in California

Job Description :
Scripps Health Administrative Services supports our five hospitals and 19 outpatient facilities, which treat half a million patients annually through 2,600 affiliated physicians.

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.
As a Patient Account Specialist, you will be supporting the Billing Services department at our 4S Ranch Business Services location. This role is essential in managing a high volume of Government Insurance/Billing documents, while also performing follow up actions to gather accurate information needed from patients, payers and providers. The ideal candidate is one who thrives in a fast-paced environment and has a passion for insurance and medical claims. As a Patient Account Specialist, you will be responsible for the following:

Managing a variety of billing and follow-up tasks related to claims processing.
Contacting responsible parties to resolve past-due accounts, investigate account status and initiate collection.
Submitting claims and following up with payers to account resolution
Identifying problem accounts with payers, investigating, and correcting errors, following up on missing account information, and unpaid and denied claims
Working directly with the insurance company, healthcare provider, liable third parties, and patient to get a claim processed and paid
Supporting continuous improvement of organization processes and personal knowledge and skills, and maintaining and protecting confidential information
Providing excellent customer service through cooperative working relationships, and meeting productivity and quality standards.

This is a Full Time (80 hours every pay period) benefited position, working 8-hour day shifts on Monday – Friday.

Required Education/Experience/Specialized Skills:

Strong working knowledge of managed care plans, insurance carriers, government Payers and payer requirements.
Knowledge of Medical Terminology and Medicare Compliance.
Familiarity with HIPAA privacy requirements for patient information.
Basic understanding of DRG’s, Medical ICD9/ICD10 codes and CPT/HCPC Codes.
Ability to multitask and stay organized.
Good verbal and written communication skills.
Detail oriented and ability to prioritize work.
Requires a moderate level of interpersonal, problem solving, and analytic skills.
Knowledgeable on insurance and reimbursement process.
Ability to establish/maintain cooperative working relationships with staff, Medical Staff and providers.

Preferred Education/Experience/Specialized Skills/Certification:

Two years of patient accounts experience in a healthcare setting.
Knowledge in Excel, Word and basic computer functions such as saving documents, sharing documents

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.