Patient Service Representative - Enrollment

This is a Casual/Per Diem position with a varied schedule (eight hour shifts and start times between 7AM - 10:30AM). The physical location for this role is our Campus Point offices in La Jolla, however this position has been approved to work full time remotely (candidates must be local to the San Diego area). You will enjoy comprehensive benefits that cover health & wellness, career development, and retirement options among other benefits.

Why join Scripps Health?

At Scripps Health, your ambition is empowered and your abilities are appreciated:

• Nearly a quarter of our employees have been with Scripps Health for over 10 years.
• Scripps is a Great Place to Work Certified company for 2025.
• Scripps Health has been consistently ranked as a top employer for women, millennials, diversity, and as an overall workplace by various national publications.
• Becker's Healthcare ranked Scripps Health on its 2024 list of 150 top places to work in health care.
• We have transitional and professional development programs to create a learning environment that enables you to thrive in your specific field as well as in your overall career.
• Our specialties have been nationally recognized for quality in areas such as cardiovascular care, oncology, orthopedics, geriatrics, obstetrics and gynecology, and gastroenterology.

Join the New Patient Welcome team at Scripps Health supporting the Enrollment department as a Patient Service Representative at our Campus Point business offices in La Jolla. This important role primarily involves taking inbound calls from new patients looking to establish care with the Scripps Coastal Medical Group or the Scripps Clinic Medical Group.

General PSR duties may include:

• Interacting with patients, payers and providers to gather information necessary for accurate registration including assigning of appropriate medical record number, scheduling, and referral/authorization, point of service payment collection, document collection and arrival/check-in functions
• Responding to customer billing and payment inquires as needed.
• Effectively managing 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 is 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 displaying a proactive approach to customer service by listening to the patient, taking ownership of solutions and being able to accurately identify the need to involve leadership in order to resolve concerns.

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 year of experience in a customer service or healthcare/medical office environment preferred.
• 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.