Client Service Specialist
About the role
This is a full-time, benefit eligible position located in San Diego. The position is partial remote with varying start and end times ranging from 7AM to 7PM.
Responsibilities
- Acts as patient’s primary point of contact, ensuring a seamless and positive patient experience.
- Investigates, analyzes and develops creative solutions to client specific problems related to systems, claims, networks, providers, eligibility, billing, collections, etc. through active cross-functional team participation.
- Appropriately and accurately gather information for the purposes of patient documentation and intake.
- Acts as a liaison between patient and internal partners and third party administrators (HAS’s, medical providers, etc.).
- Maintains and monitors set up of account files and ensures proper billing.
- Schedules patient visits, provides physician and health care resource referrals, and assists in navigating care.
- Understands when to escalate patient concerns or issues as appropriate.
- Utilizes databases to provide health plan information including co-pays, deductibles and coverage.
- Aid in gathering necessary reports, statistics and tracking outcomes for the department as needed.
Requirements
- 3 years of experience in customer service and/or health care/medical office environment.
- Proficient in the use of multiple computer applications including customer relationship management systems, patient registration and scheduling, electronic health record and billing.
- Excellent communication, customer service and relationship building behaviors and skills.
- Strong organizational, data collection and analytical skills; innovative with ability to identify and solve problems.
- Able to adapt, create urgency, prioritize and meet deadlines.
Preferred Education/Experience/Specialized Skills/Certification
- Bachelor degree in related field.
- Knowledge of medical terminology, commercial and government health insurance, referrals and authorizations and billing guidelines, ACA requirements, understanding of DRG’s, Medical ICD9/ICD10 codes and CPT/HCPC Codes and Modifiers.
- Call center experience.
- Healthcare and insurance background.
Benefits
In compliance with the California Pay Transparency Act, Scripps Health posts the pay range for all jobs. Please note that actual pay will be determined based on relevant experience and internal equity within the pay range. Please also note this range is applicable for employees who reside in California only. A geographical pay differential may be applied for remote employees who reside out of state. Scripps Health strives to ensure that our employees receive equal pay for equal work in line with our commitment to being an equal opportunity employer.
Pay
Please note that actual pay will be determined based on relevant experience and internal equity within the pay range. Please also note this range is applicable for employees who reside in California only. A geographical pay differential may be applied for remote employees who reside out of state.
Schedule
Variated
Skills
None specifically listed beyond those required and preferred qualifications.
Benefits
In compliance with the California Pay Transparency Act, Scripps Health posts the pay range for all jobs. Please note that actual pay will be determined based on relevant experience and internal equity within the pay range. Please also note this range is applicable for employees who reside in California only. A geographical pay differential may be applied for remote employees who reside out of state. Scripps Health strives to ensure that our employees receive equal pay for equal work in line with our commitment to being an equal opportunity employer.
Qualifications
None specifically listed beyond those required and preferred qualifications.
Company Information
At Scripps, we seek dedicated, compassionate people to join our team and make a significant impact on the health of our community and the future of health care. Throughout our five hospital campuses, 30 outpatient centers and clinics, and hundreds of affiliated physician offices throughout the region, each member of our team plays a key role in our life-changing and life-saving mission. Our people and their commitment to the highest standards of care are what define us.