At SCA Health, we believe health care is about people – the patients we serve, the physicians we support and the teammates who push us forward. Behind every successful facility, procedure or innovation is a team of 15,000+ professionals working together, learning from each other and living out the mission, vision and values that define our organization.Â
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As part of Optum, SCA Health is redefining specialty care by developing more accessible, patient-centered practice solutions for a network of more than 370 ambulatory surgical centers, over 400 specialty physician practice clinics and numerous labs and surgical hospitals. Our work spans a broad spectrum of services, all designed to support physicians, health systems and employers in delivering efficient, value-based care to patients without compromising quality or autonomy. Â
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What sets SCA Health apart isn’t just what we do, it’s how we do it. Each decision we make is rooted in seven core values:Â
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- Clinical qualityÂ
- IntegrityÂ
- Service excellenceÂ
- TeamworkÂ
- AccountabilityÂ
- Continuous improvementÂ
- InclusionÂ
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Our values aren’t empty words – they inform our attitudes, actions and culture. At SCA Health, your work directly impacts patients, physicians and communities. Here, you’ll find opportunities to build your career alongside a team that values your expertise, invests in your success, and shares a common mission to care for patients, serve physicians and improve health care in America.   Â
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At SCA Health, we offer a comprehensive benefits package to support your health, well-being, and financial future. Our offerings include medical, dental, and vision coverage, 401k plan with company match, paid time off, life and disability insurance, and more. Please visit, https://careers.sca.health/why-sca, to learn more about our benefits.
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Your ideas should inspire change. If you join our team, they will.Â
Responsibilities
** The work schedule will be Monday - Friday with hours from 10am – 6:30pm EST / 9am – 5:30pm CST / 7am – 3:30pm PST **
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The Associate Accounts Receivable Representative will work in the Accounts Receivable, or A/R department, within our regional business office and will be responsible for thorough and timely patient account follow up to ensure accurate accounts receivable reporting; following up with insurance companies and/or third party payers to ensure payments by primary and secondary payers and/or self-pay patients are accurate and timely. This role is a vital position in the revenue cycle process.   The ‘A/R Rep’ will function within the Center’s policies and procedures, support SCA Values, SCA Vision and SCA Mission.  In return, we offer a great benefits package including health and dental insurance options, PTO, 401K, and more.  All of which begin on your first day of employment. Â
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Specifically, you will work in the Accounts Receivable, or A/R department, within our regional business office and will be responsible for thorough and timely patient account follow up to ensure accurate accounts receivable reporting; following up with insurance companies and/or third party payers to ensure payments by primary and secondary payers and/or self-pay patients are accurate and timely. You will: Â
- Ensure payments by primary and secondary payers and/or self-pay patients are accurateÂ
- Responsible for thorough and timely patient account follow up to ensure accurate accounts receivable reportingÂ
- Accurate and timely follow up and resolution for all accounts receivable.Â
- Meeting and maintaining cash collection metrics and goalsÂ
- Effectively and independently handles second level reimbursement issues, contracted and non-contracted denials for serviced before and after proceduresÂ
- This is a fast-paced environment, which requires attention to detail, accountability, teamwork, and professional behavior and a focus that extends to patients, clients and other departments.Â
- Works closely with payer provider relations representativesÂ
- Contacting insurance companies by email and/or phone to collect paymentsÂ
- Handles contracted and non-contracted; HMO, PPO, EPO, POS, Worker’s Com., self-pay and third-party reimbursement issues.Â
- Works all denials and corrected claims collaborating with the biller and/or Business Office Manager, insurance payers and/or patients on past due accountsÂ
- Primary functions are credit balance management, patient balance resolution and non-patient (insurance) resolutionÂ
- Work closely with insurance companies and third-party payers to collect revenue for surgical services performed.
- This role is primarily focused on collecting payments from insurance companies as opposed from collecting from self-payers/individuals.
Qualifications
Requirements for our roles:
- Minimum of a High School Diploma or GED
- Recent Healthcare Denials and appeals experience
- Familiarity with EOB and reading medical policies from payers
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