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.
With offices throughout San Diego County, our doctors and APCs specialize in family medicine, internal medicine, pediatrics, and obstetrics and gynecology.
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