Patient Account Specialist - Professional Billing Governmental Services - 4S Ranch

This is a full-time, benefitted position located in san. The position will be onsite Monday-Friday for day shift.

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
• Nearly a quarter of our employees have been with Scripps Health for over 10 years.

The Patient Account Specialist is responsible for a variety of billing and follow-up tasks relating to claims processing; contacts responsible parties to resolve past-due accounts; investigates account status and initiates collection. Submits claims and follows up with payors to account resolution. Identifies problem accounts with payors; investigates and corrects errors, follows-up on missing account information, and appealing unpaid and denied claims. Working directly with the insurance company, healthcare provider, liable third parties and patient to get a claim processed and paid. Supports continuous improvement of organization processes and personal knowledge and skills. Maintains and protects confidential information. Provides excellent customer service through cooperative working relationships. Meets productivity and quality standards.

Required Education/Experience/Specialized Skills:

• 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.

Preferred Education/Experience/Specialized Skills/Certification:

• Two years of patient accounts experience in a healthcare setting.