Patient Service Specialist - Diabetes Clinical Services - La Jolla

This is a Full-Time position (80 hours per pay period) with a Monday - Friday schedule located at our Scripps Whittier Diabetes Institute in La Jolla. 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 a winning team at our Scripps Whittier Diabetes Institute in La Jolla supporting the Diabetes Clinical Services department as a Patient Service Specialist. Working together, you'll bring your expertise, compassion, and excellence to all we do. The ideal candidate will have experience working in a medical setting, thrive in a fast-paced environment, and enjoy providing world class customer service. The primary duties of this role include processing of referrals, scheduling patients, assisting with front desk check in and check out and multi-line phone answering, reviewing the Diabetes program with patients for recruitment to diabetes classes, and back-office work involving the review of progress notes for follow-up visits.

As a Patient Service Specialist, general responsibilities may include:

• Interacting with patients, payers and providers to gather information necessary for accurate registration including assigning of appropriate Medical Record Number, referral/authorization, point of service payment collection, document collection and arrival/check-in functions.
• Receiving and routing messages received in the department appropriately as well as managing 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; verifying coverage including benefits, authorization, pre-determination, payer specific policy exclusions or limitations to coverage, collecting any patient responsibility and accurately preparing end of day reporting or payment reconciliation as needed.
• Assisting patients with HPE eligibility, discussing payment arrangement options including financial assistance information, providing price estimates.
• 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.
• Acting as a member of the patient care team by supporting the clinical care staff in the care of the patient.

Required Qualifications:

• Must be able to demonstrate proficiency of computer applications, excellent mathematical skills and ability to handle monies.
• 1 year experience in a medical front office and/or business medical office position.
• Excellent communication and customer service skills.
• Strong organizational and analytical skills; innovative with ability to identify and solve problems.
• Able to adapt, prioritize and meet deadlines.

Preferred Qualifications:

• 2 years of experience in customer service or healthcare/medical office environment.
• 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.