This is a Full Time (80 hours every pay period) benefited position, Monday-Friday for day shift. Shift can start anytime from 5:30am-9:00am and then work an 8 hour shift with 30 mins for lunch (we have flexible start times). Over time additional hours when needed and located at our 4S Ranch office.
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.
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 hospital 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:
- Responsible for working aged reports and credit balances on a regular basis set by department guidelines.
- Follows-up with insurance carriers timely on unpaid claims until claims are paid or only self-pay balance remains. Does not have claims written off for timely filing.
- Processes rejections by either making accounts self-pay and generating a letter of rejection to patient or correct any billing error and resubmitting claims to insurance carriers.
- Keeps updated on all billing requirements and changes for all insurance types.
- Responsible for responding to all inquiries, billing denials, other correspondence and phone requests in an efficient, timely, and effective manner. Secures needed medical documentation required or requested by insurances.
- Works with HIM staff to ensure that complete diagnosis/procedure codes and modifiers are reported to insurance carriers as required.
- Working directly with the insurance company, healthcare provider, liable third parties, and patient to get a claim processed and paid
- Works to help maintain Accounts Receivable (AR) days at or near target level set by the Hospital Senior Team.
- 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.
- 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.
- Two years of patient accounts experience in a healthcare setting.
- Working knowledge of healthcare EPIC software preferred.
- Minimum two years experience government billing.
- Knowledge in Excel, Word and basic computer functions such as saving documents, sharing documents
- Demonstrate strong computer skills required. (Education may be substituted for experience in some areas.)
- Demonstrate knowledge of accounts receivable practices, payer billing and reimbursement procedures and practices.
- Working knowledge of hospital UB04, CPT-4, HCPCS, ICD-10 and Revenue codes.
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.
Position Pay Range: $26.45-$34.33/hour
About the company
Company website•Hospitals and Health Care
Whether you are searching for your next career opportunity or looking for care for yourself or a family member, you’ll find what you need at Scripps. Founded in 1924 by philanthropist Ellen Browning Scripps, Scripps is a non-profit integrated health care delivery system based in San Diego, Calif. We treat more than 700,000 patients annually through the dedication of 3,000 affiliated physicians and more than 15,000 employees among our five acute-care hospital campuses, hospice and home health care services, 27 outpatient centers and clinics, and hundreds of affiliated physician offices throughout the region.
Medical Excellence Every Step of the Way
Recognized as a leader in disease and injury prevention, diagnosis and treatment, Scripps has been ranked four times as one of the nation’s best health care systems by Truven Health Analytics. Our hospitals are consistently ranked by U.S. News & World Report among the nation’s best – and Scripps is regularly recognized by Fortune, Working Mother magazine and The Advisory Board as one of the best places in the nation to work. Scripps is also at the forefront of clinical research, genomic medicine and wireless health care. With three highly respected graduate medical education programs, Scripps is a longstanding member of the Association of American Medical Colleges. More information can be found at www.scripps.org.