Patient Account Specialist - Professional Billing

This is a full-time, benefit eligible position and is partial remote and will be located at our 4S Ranch office.

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.

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.

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Required Education/Experience/Specialized Skills:

• 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 Education/Experience/Specialized Skills/Certification:

• Two years of patient accounts experience in a healthcare setting.
• Experience with commercial payers and professional billing.
• Experience with AR follow up, registration, denials and appeal claims.
• Experience with managed care.