Patient Service Representative - Pathology - La Jolla

This is a Full-Time position (80 hours per pay period) with a Monday - Friday schedule and eight hour shifts with varied hours between 7AM - 6PM, located at Scripps Memorial Hospital La Jolla and occasionally covering at Scripps Green Hospital in Torrey Pines. You will enjoy comprehensive benefits that cover health & wellness, career development, and retirement options among other benefits.

Why join Scripps Health?

AWARD-WINNING WORKPLACE:

• Made Becker's 150 Top Places to Work for 2024
• #5 in Fortune Best Workplaces in Healthcare 2023
• #78 in PEOPLE Companies that Care 2023
• #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

As a nationally recognized health system, Scripps Health is committed to providing the highest quality care to our patients. Through collaboration and innovation, our healthcare professionals lead the frontier in caring for our community. With a culture centered around teamwork, each laboratory site serves as a resource of support for each other, setting our laboratories as the benchmark for standardization. The Patient Service Representative (PSR) is key to the success at our labs. To thrive in our ever-changing environment, the PSR is able to multi-task in managing multiple phone lines and various computer systems, all while delivering excellent customer service and maintaining high attention to detail. The PSR is the face of the laboratory team, performing pickup and delivery runs across the Scripps Memorial Hospital La Jolla and Scripps Green Hospital campus, interacting with multiple departments. Additional primary duties involve sending out specimens to reference laboratories and slide distribution.

The Patient Service Representative works closely with our pathologists and is responsible for interacting 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. Responds to customer billing and payment inquires as needed. Effectively manages 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; collecting patient payment responsibility and accurately preparing end of day reporting or payment reconciliation as needed. Escalating billing inquiries as needed. Accurately scheduling patient appointments. Successful scheduling includes, but not limited to, exhibiting proficiency in appointment scheduling procedures, accurate documentation and routing of messages, scheduling and confirming appointments according to practice guidelines, entering appropriate insurance, performing Key User duties with minimal errors. May be responsible for initiating and validating referrals/authorizations. 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. Must be able to lift 15 pound slide files.

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.

Preferred Qualifications:

• 1 or more years of experience in a customer service or healthcare/medical office environment preferred.
• Previous experience with EPIC
• Able to adapt, prioritize and meet deadlines.
• Knowledge of medical terminology, commercial and government health insurance and billing guidelines, ACA requirements, understanding of DRG's, Medical ICD9/ICD10 codes and CPT/HCPC Codes and Modifiers.