Practice Support Specialist- Reproductive Medicine - 133454

Under the supervision of the Clinic Manager is responsible for customer service, registration, appointment scheduling and insurance verification. Receives patients into the clinic/ check in / registration / financial assistance / scheduling / building and editing of provider templates, check out patients. Answers multiple telephone lines with accuracy and clarity with emphasis placed on quality Customer Service.

Adheres to the established scheduling protocols and telephone scripting and behavioral standards. Interviews customer via telephone to obtain demographic and financial information necessary to secure patient account. Completes registration for new or previously registered patients, timely and accurately. Registers bulk accounts as needed. Verifies insurance eligibility for outpatient services on all Third-Party Payers. Provides authorization support as needed. Utilizes various automated eligibility systems to obtain basic eligibility information.

Communicates clearly and effectively with patient/clinic staff when services are deemed unauthorized. Advises patient of clinic deposit requirements based upon UCSD Medical Group Financial Policy. Collects co-pays etc. Researches and responds to patient basic billing inquiries, assists with resolution of minor billing problems. Refers patient to appropriate agency/resource for financial assistance. Refers patient to alternate source of healthcare when appropriate. Maintains workstation in an organized manner as outlines by management to facilitate efficient and effective retrieval of information. Reads and adheres to policy changes within Registration and Scheduling. Attends and actively participates in staff meetings, sharing information and ideas with co-workers to maintain and environment conducive to learning and supports cohesive team atmosphere. Performs other related duties as assigned.

This position will oversee daily scheduling of appointments, review and attachment of referrals, confirmation of authorizations, communication with patients in person, by phone, and through our Epic EMR. Daily maintenance of the lobby appearance, office supplies, and break room materials will be managed by this position. Prompt attention to detail, familiarity with Epic template management, and comfort with outlook, Excel, and Microsoft Teams are requested. Understanding of benefits, patient insurance coverage and out of pockets responsibilities is extremely beneficial to this position.

• Three (3) years of related experience.
• Imaging or OB/GYN experience
• Trained on EPIC or other comparable system.
• Knowledge of third-party payors including federal, state and private health plans.
• Experience with patient check-in and cash handling.
• Experience updating Registration.
• Possess demonstrates problem solving ability by using good judgment and applying these skills to assist customers and ensure customers' expectations are met. Possess demonstrated computer skills and be able to work between multiple systems during calls.
• Possess excellent customer service skills.

• Three (3) years of experience with Insurance Verification and Benefit Verification.
• Provider Template/Cadence Experience.
• Experience with Infertility or cash (self) pay patients.
• Experience with scheduling time sensitive/urgent patients.
• Possess excellent written and verbal communication skills.
• Experience with office supply inventory and ordering.
• Call center or scheduling department experience.
• Bilingual: English/Spanish.

• Must be able to work various hours and locations based on business needs.
• Employment is subject to a criminal background check and pre-employment physical.