Patient Service Specialist - Case Management - La Jolla

Scripps Health; San Diego (CA); On-site; USD 36,000 - 47,000; Full time

Job summary

Scripps Memorial Hospital La Jolla is seeking a Patient Service Specialist in the Case Management department. The role supports care managers and social workers with transitions of care, referral management, authorization processing, and payer coordination.

Primary duties include patient registration, check-in/out processes, and verification of demographics and insurance, plus assisting with eligibility, payment options, and price estimates. Strong customer service and teamwork are essential.

Qualifications

• Must demonstrate proficiency with computer applications and money handling.
• Excellent communication and customer service skills.
• Strong organizational and analytical abilities; creative problem solving.
• Able to adapt, prioritize and meet deadlines.

Responsibilities

• Assist care managers and social workers with transitions of care and referrals.
• Coordinate authorization management and insurance/provider coordination.
• Handle patient registration, demographic and insurance updates, and payment collection.
• Assist with HPE eligibility, discussing payment arrangements and price estimates.
• Provide proactive customer service by listening and escalating when needed.
• Support clinical staff in patient care as a member of the care team.

Skills

Computer proficiency

Customer service

Communication skills

Organizational skills

Deadline management

Job description

Scripps Memorial Hospital La Jolla has served the greater San Diego community since 1924. For more than a century, we continue to provide distinguished care, including several nationally ranked specialty programs. Scripps La Jolla was the first in San Diego to be designated a Magnet Hospital by the American Nursing Association.

Scripps La Jolla shares a campus with the Barbey Family Emergency and Trauma Center, a Level I Trauma Center, and the renowned Prebys Cardiovascular Institute. We’re also home to notable specialty programs, including cancer care, heart surgery, orthopedic surgery, labor and delivery services (including a Level III neonatal intensive care unit) and a nationally designated Comprehensive Stroke Center.

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.

Duties

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.

At Scripps Health, you will experience the pride, support and respect of an organization that has been repeatedly recognized as one of the nation’s Top 100 Places to Work.

You’ll be surrounded by people committed to making a difference in the lives of their patients and their teammates. So if you’re open to change, go ahead and unlock your potential.

Position Pay Range: $26.45-$34.33/hour