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Scripps Health Patient Account Specialist - Insurance Denials & Follow-Up in San Diego, California

At Scripps Health, you will experience the pride, support, and respect of an organization that has been repeatedly recognized as one of the nation’s Top 100 Places to Work.

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.

Join a winning team supporting the Patient Billing Services Department as a Patient Account Specialistfor the Insurance Denials and Follow-Up team at the Scripps 4S Ranch business services office in Rancho Bernardo. 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.

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.

This is a benefitted Full Time, Day Shift position with a Monday - Friday schedule, located at our 4S Ranch Business Services office in Rancho Bernardo.

Required Qualifications: * 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 Qualifications: * * 2 or more years of patient accounts experience in a healthcare setting. * Insurance Denials and Follow-Up experience. // / / // / /

Job: *Business Office

Organization: *Scripps Health Corp

Title: Patient Account Specialist - Insurance Denials & Follow-Up


Requisition ID: 1048583