Client Service Specialist

This is a full-time, benefit eligible position located in San Diego. The schedule is Monday-Friday from 7AM-7PM but hours may vary (float).

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 2025.
• 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 2024 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.

The Client Service Specialist acts as patient's primary point of contact, ensuring a seamless and positive patient experience. Investigates, analyzes and develops creative solutions to client specific problems related to systems, claims, networks, providers, eligibility, billing, collections, etc. through active cross-functional team participation. Appropriately and accurately gather information for the purposes of patient documentation and intake. Acts as a liaison between patient and internal partners and third party administrators (HAS's, medical providers, etc.). Monitors set up of account files and ensures proper billing. Schedules patient visits, provides physician and health care resource referrals, and assists in navigating care. Understands when to escalate patient concerns or issues as appropriate. Utilizes databases to provide health plan information including co-pays, deductibles and coverage. Assist in gathering necessary reports, statistics and tracking outcomes for the department as needed.

Required Education/Experience/Specialized Skills:

• 3 years of experience in customer service and/or health care/medical office environment. 
• Proficient in the use of multiple computer applications including customer relationship management systems, patient registration and scheduling, electronic health record and billing. 

• Excellent communication, customer service and relationship building behaviors and skills. 

   

• S

  trong organizational, data collection and analytical skills; innovative with ability to identify and solve problems. 

   

• Able to adapt, create urgency, prioritize and meet deadlines. 
  
  
  Preferred Education/Experience/Specialized Skills/Certification:

   

• Bachelor degree in related field. 
• Knowledge of medical terminology, commercial and government health insurance, referrals and authorizations and billing guidelines, ACA requirements, understanding of DRG's, Medical ICD9/ICD10 codes and CPT/HCPC Codes and Modifiers.
• Call center experience.