Patient Care & Transitions Specialist

Scripps Health, Inc.; California; On-site; USD 42,000 - 54,000; Full time

Job summary

Scripps Health in La Jolla seeks a Patient Service Specialist in Case Management. You will support care managers with transitions of care, referrals, authorizations, and insurance coordination, ensuring smooth patient flow.

You will interact with patients, payers and providers to gather registration information, check benefits, and collect patient responsibility. A collaborative team environment and ongoing professional development are offered.

Qualifications

• Experience in hospital patient registration or care transitions.
• Ability to verify insurance and collect payments.
• Excellent communication and teamwork skills.

Responsibilities

• Support care managers and social workers with transitions of care, referral management through ECIN/CarePort, authorization management, and insurance and provider coordination.
• Interact with patients, payers, and providers to gather information for accurate registration including Medical Record Number assignment, referrals/authorizations, service payments, and documentation for check-in.
• Receive and route messages; manage billing and payment inquiries as needed.
• Manage patient check-in/out: verify identity, update demographics/insurance, ensure forms are completed and signed, verify coverage and benefits, collect patient responsibility, and prepare end-of-day reports.
• Assist patients with HPE eligibility; discuss payment arrangements and financial assistance options; provide price estimates.
• Demonstrate proactive customer service; listen to patients, own solutions, and involve leadership when needed.
• Act as part of the patient care team supporting clinical staff in patient care.

Skills

Customer service

Interpersonal communication

Attention to detail

Tools

ECIN/CarePort

Job description

Scripps Health in La Jolla seeks a Patient Service Specialist in Case Management. You will support care managers with transitions of care, referrals, authorizations, and insurance coordination, ensuring smooth patient flow.

You will interact with patients, payers and providers to gather registration information, check benefits, and collect patient responsibility. A collaborative team environment and ongoing professional development are offered.