Patient Service Specialist - Insurance Authorizations

This is a Full-Time (80 hours every two weeks) benefited position working varied shifts between 6AM and 6PM. Flexible schedule availability is a must. Once training is complete, this position has a hybrid work schedule, with a work from home (WFH) and in-office schedule. The office is located at our Business Services office in 4S Ranch.

Join the Scripps Health team and work alongside passionate caregivers and provide patient-centered healthcare. Receive endless appreciation while you build a rewarding career with one of the most respected healthcare organizations nationwide.

Why join Scripps Health?

AWARD-WINNING WORKPLACE:

• #5 in Fortune Best Workplaces in Health Care 2023
• #78 in 2023 PEOPLE Companies that Care
• #95 in Fortune 100 Best Companies to Work for 2023
• Recognized by Newsweek as one of America's Greatest Workplaces for Diversity in 2024
• Nearly a quarter of our employees have been with Scripps Health for over 10 years.

Join a winning team at Scripps Corporate Office supporting the Rave/Training department as a Patient Service Specialist. Working together, you'll bring your expertise, compassion and excellence to all we do. The ideal candidate will thrive in a fast-paced environment and enjoy providing world class customer service. You will experience the pride and support of being a member of an outstanding organization where we share a culture of providing excellent care to our patients and each other.

As a Patient Service Specialist, you will be responsible for:

• Responsible for interacting with patients and providers to gather information necessary for accurate registration including point of service payment collection and document collection, functions.
• Receives and routes messages received in the department appropriately as well as manages customer billing and payment inquires as needed.
• Effectively manages collecting any patient responsibility and accurately preparing end of day reporting or payment reconciliation as needed.
• Assisting patients with discussing payment arrangement options including financial assistance information, providing price estimates.
• May coordinate scheduling, meeting and travel planning needs, department communication as needed.
• May assist in gathering necessary reports, statistics, outcomes for the department 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.

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.
• Able to adapt, prioritize and meet deadlines.

Preferred Qualifications:

• Minimum of 3 years working with commercial, government, and workers' compensation payers.
• Minimum of 3 years' experience in obtaining authorizations for imaging or surgical services.
• Minimum of 3 years' experience in patient registration
• Comprehensive understanding of coordination of benefits, outpatient and inpatient authorization processes for both hospitals and provider settings.
• Proficiency with EPIC electronic health record system.
• Strong command of the Microsoft Office Suite (Word, Excel, PowerPoint, Teams).
• Ability to multitask effectively.
• Demonstrated capability to work well under pressure and handle high levels of stress.
• Flexible and adaptable to change in a dynamic work environment.
• Detail-oriented with strong time management skills.
• Analytical and problem-solving skills to navigate complex authorization issues.
• Resourceful and able to work independently when needed.
• Excellent communication skills for interacting with providers, staff, and patients.
• Proven ability to work well with providers and staff, fostering effective collaborations.
• Team player who contributes positively to team dynamics.
• Strong organizational skills to manage multiple tasks and deadlines efficiently.
• Ability to remain calm and focused in stressful situations.