SCHEDULING SPECIALIST

About the role

Caring for San Diegans since 1924, Scripps Clinic is San Diego’s first choice for exceptional primary care and highly specialized and coordinated specialty care. Scripps Clinic offers a comprehensive range of medical and surgical services that are nationally recognized for quality, excellence and innovation. From primary to specialty care, our team-based model is designed to provide the best possible care and outcomes for you and your family. More than 900 providers and physicians provide 1.5 million patient visits a year coordinated through an integrated electronic health record.

Responsibilities

• Interact 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.
• Respond to customer billing and payment inquiries as needed.
• Mentor and train staff on departmental procedures.
• Accurately schedule and re‑schedule complex patient procedures and appointments.
• Exhibit proficiency in scheduling procedures, schedule and confirm appointments according to practice guidelines, enter appropriate insurance, initiate authorizations and referrals, perform Key User duties with minimal errors.
• Accurately document patient‑to‑provider communication, assess urgency and escalate as appropriate.
• 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; collect any patient responsibility and accurately prepare end‑of‑day reporting or payment reconciliation as needed.
• Display a proactive approach to customer service by listening to the patient, taking ownership of solutions and accurately identifying when to involve leadership to resolve concerns.

Requirements

• 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.
• Understanding of ACA requirements.
• Understanding of DRG’s.
• Knowledge of Medical ICD‑9/ICD‑10 codes.
• Knowledge of CPT/HCPC codes and modifiers.

Qualifications

2 years experience in customer service or a healthcare/medical office environment.

Pay

Position Pay Range: $27.24‑$35.88/hour