Patient Service Specialist - Case Management - La Jolla

Patient Service Specialist - Case Management - La Jolla

This is a Full-Time position (80 hours per pay period) with a varied day shift schedule (includes every other weekend) located at our Scripps Memorial Hospital 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 2026. 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 2026 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 caring team supporting Scripps Memorial Hospital La Jolla as a Patient Service Specialist in the Case Management department. The primary duties of this position will include supporting care managers and social workers with transitions of care, referral management through ECIN/CarePort, authorization management, and insurance and provider coordination. Other duties may include the following: 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 manages 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 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. 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.

Business Office

Central San Diego County-LA JOLLA-SCRIPPS MEMORIAL HOSPITAL LA JOLLA

SCRIPPS MEMORIAL HOSPITAL LA JOLLA 9888 GENESEE AVE LA JOLLA 92037

Scripps La Jolla Hospital

FT - FULL-TIME WITH BENEFITS

26.45 - 34.33 In compliance with the California Pay Transparency Act, Scripps Health posts the pay range for all jobs. Please note that actual pay will be determined based on relevant experience and internal equity within the pay range. Please also note this range is applicable for employees who reside in California only. A geographical pay differential may be applied for remote employees who reside out of state. Scripps Health strives to ensure that our employees receive equal pay for equal work in line with our commitment to being an equal opportunity employer. Scripps Health is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, sexual orientation, or gender identity/expression), age, marital status, status as a protected veteran, among other things, or status as a qualified individual with disability.