Scott Pickens
About Scott Pickens
Scott Pickens is a Patient Account Specialist and Medical Claims Examiner with over 25 years of experience in the healthcare and dental insurance industries, currently working at Scripps Health and self-employed in the Greater San Diego Area.
Current Positions
Scott Pickens is currently working as a Patient Account Specialist focused on Denial Follow Up at Scripps Health in the Greater San Diego Area. Concurrently, he also works as a Medical Claims Examiner in a self-employed capacity within the same region.
Previous Work Experience
Scott has an extensive work history in the healthcare and insurance sectors. He worked at the San Francisco Health Plan from 2013 to 2019, initially as a Medical Claims Examiner and later as a Utilization Management Edit Coordinator for 9 months. Prior to that, he worked at UnitedHealthcare as a Member Service Representative / Intake Coordinator from 2003 to 2010, and at Apria Healthcare as a Sr. Customer Service Representative from 2002 to 2003. His earlier roles include serving as an Administrative Clerk at Goldline International from 1999 to 2001 and as a Member Service Manager at Prudential Insurance Company of America from 1997 to 1999. He began his career at Trojan Professional Services, where he was a Customer Service Manager for 9 years.
Education
Scott studied at Turlock High School, where he completed General Studies and earned his High School Diploma. His academic tenure at Turlock High School spanned from 1979 to 1982.
Specializations and Skills
Scott specializes in MediCal and Medicare standards, APR-DRG, managed care capitation, and FFS claims. He possesses solid knowledge of CPT/HCPCS, ICD-9, and ICD-10 claims coding, as well as medical terminology. His experience includes working with the latest versions of QNXT Essette applications.
Professional Experience
Boasting over 25 years of professional experience in the healthcare and dental insurance industries, Scott has developed a comprehensive understanding of medical and dental claims processing. He has worked across various roles, consistently enhancing his expertise in medical claims, denial follow-up, and customer service.