SCHEDULING SPECIALIST

Scripps Health; Oceanside (CA); On-site; USD 42,000 - 52,000; Full time

Job summary

Scripps Health in Oceanside seeks a detail‑oriented registration specialist to support patient intake and scheduling. You will collect demographics and insurance data, assign MRN, initiate authorizations, and coordinate referrals. The role includes payment collection and responding to billing inquiries, with accurate day‑end reporting.

Excellent math, strong communication, and familiarity with medical terminology and billing guidelines are required; healthcare office experience preferred.

Qualifications

• Must possess excellent mathematical skills and ability to handle monies.
• Excellent communication and customer service skills.
• Strong organizational and analytical skills; able to identify and solve problems.
• 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 and Modifiers are required.
• 2 year experience customer service or healthcare/medical office environment.

Responsibilities

• Gather information for patient registration including assigning MRN.
• Schedule and reschedule complex procedures and appointments.
• Initiate authorizations and referrals; process payer interactions.
• Collect payments and perform end-of-day reconciliation.
• Verify patient demographics and insurance; ensure forms are signed.
• Respond to billing inquiries and escalate to leadership as needed.

Skills

Customer service

Communication skills

Attention to detail

Mathematical skills

Medical terminology

Problem solving

Tools

Billing software

Electronic health records (EHR)

Job description

Description Responsible for interacting with patients, payers and providers to gather information necessary for accurate registration including assigning of appropriate Medical Record Number, scheduling, referral/authorization, point of service payment collection, document collection and arrival/check-in functions. Responds to customer billing and payment inquires as needed. Mentors and trains staff on departmental procedures. Responsible for accurately scheduling and re-scheduling complex patient procedures and appointments. Successful scheduling includes, but not limited to, exhibiting proficiency in the scheduling procedures, scheduling and confirming appointments according to practice guidelines, entering appropriate insurance, initiating authorizations and referrals, performing Key User duties with minimal errors. Accurately documents patient to provider communication, assessing urgency and escalating as appropriate. May manage 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. Regularly displays a proactive approach to customer service by listening to the patient, taking ownership of solutions and is able to accurately identify the need to involve leadership in order to resolve concerns.

Qualifications Experience/Specialized Skills: Must possess 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. 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 and Modifiers are required.:
Preferred Education/Experience/Specialized Skills/Certification:2 year experience customer service or healthcare/medical office environment.

Job : Business Office

Primary Location : Northern San Diego County-OCEANSIDE-SCF 78/Jefferson

Work Locations : SCF 78/Jefferson 2205 Vista Way Oceanside 92054

Organization : Scripps Clinic

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.