Patient Service Specialist - Case Management - La Jolla

Scripps Health, Inc.; California; Vor Ort; USD 42.000 - 54.000; Vollzeit

Zusammenfassung

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.

Qualifikationen

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

Aufgaben

• 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.

Kenntnisse

Customer service

Interpersonal communication

Attention to detail

Tools

ECIN/CarePort

Jobbeschreibung

This is aFull-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.