Client Service Specialist

This is a full-time, benefit eligible position. This position will rotate weekly working remote, from Qualcomm Health Center and Scripps Headquarters.

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.

As a nationally recognized health system, Scripps Health is committed to providing the highest quality care to our patients. Through collaboration and innovation, our Client Service Specialists - Premier ACO lead the frontier in providing support for staff to care for our community.

The Client Service Specialist acts as patient's primary point of contact, ensuring a seamless and positive patient experience. Investigates, analyzes and develops creative solutions to client specific problems related to systems, claims, networks, providers, eligibility, billing, collections, etc. through active cross-functional team participation. Appropriately and accurately gather information for the purposes of patient documentation and intake. Acts as a liaison between patient and internal partners and third party administrators (HAS's, medical providers, etc.). Monitors set up of account files and ensures proper billing. Schedules patient visits, provides physician and health care resource referrals, and assists in navigating care. Understands when to escalate patient concerns or issues as appropriate. Utilizes databases to provide health plan information including co-pays, deductibles and coverage. Assist in gathering necessary reports, statistics and tracking outcomes for the department as needed.

Required Education/Experience/Specialized Skills:

• 3 years of experience in customer service and/or health care/medical office environment.
• Proficient in the use of multiple computer applications including customer relationship management systems, patient registration and scheduling, electronic health record and billing.
• Excellent communication, customer service and relationship building behaviors and skills.
• Strong organizational, data collection and analytical skills; innovative with ability to identify and solve problems.
• Able to adapt, create urgency, prioritize and meet deadlines.
  

Preferred Education/Experience/Specialized Skills/Certification:

• Bachelor degree in related field.
• Knowledge of medical terminology, commercial and government health insurance, referrals and authorizations and billing guidelines, ACA requirements, understanding of DRG's, Medical ICD9/ICD10 codes and CPT/HCPC Codes and Modifiers.
• 2 years of experience in customer service and/or health care.
• Inbound call center experience.
• Epic/EMR experience.