Insurance Specialist

1 week ago

Myrtle Point, Oregon, United States SCA Health Full time
Insurance Specialist

JOB_DESCRIPTION.SHARE.HTML

CAROUSEL_PARAGRAPH

JOB_DESCRIPTION.SHARE.HTML

- United States
- NCP RCO
- Claims
- Regular
- Full-time
- 1
- USD $21.00/Hr.
- USD $23.00/Hr.
- 39803

SCA Health

Job Description

Overview

Today, SCA Health has grown to 11,000 teammates who care for 1 million patients each year and support physician specialists holistically in many aspects of patient care. Together, our teammates create value in specialty care by aligning physicians, health plans and health systems around a common goal: delivering on the quadruple aim of high-quality outcomes and a better experience for patients and providers, all at a lower total cost of care.

As part of Optum, we participate in an integrated care delivery system that enables us to support our partners as they navigate a complex healthcare environment, Only SCA Health has a dynamic group of physician-driven, specialty care businesses that allows us to customize solutions, no matter the need or challenge:

- We connect patients to physicians in new and differentiated ways as part of Optum and with our new Specialty Management Solutions business.
- We have pioneered a physician-led, multi-site model of practice solutions that restores physician agency by aligning incentives to support growth and transition to value-based care.
- We lead the industry in value-based payment solutions through our Global 1 bundled payment convener, that provides easy predictable billing to patients.
- We help physicians address everything beyond surgical procedures, including anesthesia and ancillary service lines.

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. Click here to learn more about our benefits.

The new SCA Health represents who we are today and where we are going—and the growing career opportunities for YOU.

Responsibilities

** The work schedule is Monday - Friday, and can start working as early as 7am your local time **

- Assures prompt, accurate credit balance research of patient accounts.
- Processes refunds and initiates insurance check refunds requests in Accounts Payable system.
- Sends overpayment letters series to carriers that have overpaid per contract.
- Reviews and validates written requests received from insurances.
- Submits payer disputes as needed.
- Answers calls and inquiries from third-party carriers in reference overpayments or refunds requests.
- Follows up on all outstanding credit accounts.
- Calculate and verify expected pay based on contractual allowances for multiple payers.
- Documents all work performed in patient accounting system.
- Review of patient account history and notes to determine next step required for resolution per company guidelines.
- Process contractual adjustment requests as needed to correct account balances.
- Promptly processes all government refunds within timelines.
- Runs monthly credit reports to verify that checks issued have been posted.
- Performs all other duties as assigned by supervisor.

Qualifications

- One or more years' experience in a related position working in a medical office, hospital, outpatient surgery center or related field with core duties related to medical insurance collections, billing, accounts receivable, A/R, collecting payments, collecting re-imbursements, or related training/certificates/diplomas
- Read and interpret EOBs and can calculate expected allowances based on payer contracts to determine reason for balance.
- Possess knowledge of health insurance billing.
- Excellent telephone skills & Customer Service Skills
- High level of self-organization and tracking
- Works independently, is a self-starter with a high level of initiative
- Strong communication skills, both verbally and in writing
- Possesses accurate judgement, especially handling insurance claims and dealing with patient accounts.
- Versatile and willing to coordinate with and participate in, when necessary, all other aspects of the Business Office.
- Ability to handle confidential information.
- Possess basic knowledge of medical terminology.
- Possess knowledge of typing, word processing, spreadsheet and computer billing systems.
- Must be dependable and reliable.
- Ability to multi-task, think critically, and solve problems

USD $21.00/Hr. USD $23.00/Hr.

PIdd8425d283f9-37156-37252611

  • Insurance Verification Specialist

    7 days ago

    Myrtle Point, Oregon, United States SCA Health Full time

    At SCA Health, we are committed to delivering high-quality patient care and exceptional service. As an Insurance Verification Specialist, you will play a vital role in ensuring that our patients receive the best possible experience.Job DescriptionAs an Insurance Verification Specialist, your primary responsibility will be to verify patient insurance...

  • Medical Insurance Specialist

    1 week ago

    Myrtle Point, Oregon, United States SCA Health Full time

    Job OverviewWe are seeking a skilled Medical Insurance Specialist to join our team at SCA Health. In this role, you will be responsible for verifying patient insurance information, obtaining authorizations, and ensuring accurate and complete data entry into our patient accounting system.

  • Insurance Specialist

    1 week ago

    Myrtle Point, Oregon, United States SCA Health Full time

    Insurance SpecialistJOB_DESCRIPTION.SHARE.HTMLCAROUSEL_PARAGRAPHJOB_DESCRIPTION.SHARE.HTML* United States* NCP RCO* Claims* Regular* Full-time* 1* USD $21.00/Hr.* USD $23.00/Hr.* 39803SCA HealthJob DescriptionOverviewToday, SCA Health has grown to 11,000 teammates who care for 1 million patients each year and support physician specialists holistically in...

  • Insurance Specialist

    1 week ago

    Myrtle Point, Oregon, United States SCA Health Full time

    Insurance SpecialistJOB_DESCRIPTION.SHARE.HTMLCAROUSEL_PARAGRAPHJOB_DESCRIPTION.SHARE.HTML* United States* NCP RCO* Claims* Regular* Full-time* 1* USD $21.00/Hr.* USD $23.00/Hr.* 39803SCA HealthJob DescriptionOverviewToday, SCA Health has grown to 11,000 teammates who care for 1 million patients each year and support physician specialists holistically in...

  • Insurance Specialist

    1 week ago

    Myrtle Point, Oregon, United States SCA Health Full time

    Insurance SpecialistJOB_DESCRIPTION.SHARE.HTMLCAROUSEL_PARAGRAPHJOB_DESCRIPTION.SHARE.HTML* United States* NCP RCO* Claims* Regular* Full-time* 1* USD $21.00/Hr.* USD $23.00/Hr.* 39803SCA HealthJob DescriptionOverviewToday, SCA Health has grown to 11,000 teammates who care for 1 million patients each year and support physician specialists holistically in...

  • Insurance Specialist

    1 week ago

    Myrtle Point, Oregon, United States SCA Health Full time

    Insurance Specialist JOB_DESCRIPTION.SHARE.HTML CAROUSEL_PARAGRAPH JOB_DESCRIPTION.SHARE.HTML * United States * NCP RCO * Claims * Regular * Full-time * 1 * USD $21.00/Hr. * USD $23.00/Hr. * 39803 SCA Health Job Description Overview Today, SCA Health has grown to 11,000 teammates who care for 1 million...

  • Insurance Specialist

    1 week ago

    Myrtle Point, Oregon, United States SCA Health Full time

    Insurance Specialist JOB_DESCRIPTION.SHARE.HTML CAROUSEL_PARAGRAPH JOB_DESCRIPTION.SHARE.HTMLUnited StatesNCP RCOClaimsRegularFull-time1USD $21.00/Hr.USD $23.00/Hr.39803 SCA Health Job Description OverviewToday, SCA Health has grown to 11,000 teammates who care for 1 million patients each year and support physician specialists holistically in many...

  • Insurance Specialist

    1 week ago

    Myrtle Point, Oregon, United States SCA Health Full time

    Insurance Specialist JOB_DESCRIPTION.SHARE.HTML CAROUSEL_PARAGRAPH JOB_DESCRIPTION.SHARE.HTMLUnited StatesNCP RCOClaimsRegularFull-time1USD $21.00/Hr.USD $23.00/Hr.39803 SCA Health Job Description OverviewToday, SCA Health has grown to 11,000 teammates who care for 1 million patients each year and support physician specialists holistically in many...

  • Insurance Specialist

    1 week ago

    Myrtle Point, Oregon, United States SCA Health Full time

    Insurance Specialist JOB_DESCRIPTION.SHARE.HTML CAROUSEL_PARAGRAPH JOB_DESCRIPTION.SHARE.HTMLUnited StatesNCP RCOClaimsRegularFull-time1USD $21.00/Hr.USD $23.00/Hr.39803 SCA Health Job Description OverviewToday, SCA Health has grown to 11,000 teammates who care for 1 million patients each year and support physician specialists holistically in many...

  • Healthcare Insurance Specialist

    1 week ago

    Myrtle Point, Oregon, United States SCA Health Full time

    At SCA Health, we are committed to delivering high-quality patient care and experiences. As a Healthcare Insurance Specialist, you will play a critical role in ensuring accurate and timely insurance verification for our patients.Responsibilities:Verify patient insurance information for accuracy and completenessDetermine if secondary insurance should be added...

  • Insurance Verification Specialist

    1 week ago

    Myrtle Point, Oregon, United States SCA Health Full time

    Company OverviewAt SCA Health, we strive to deliver high-quality care to our patients while aligning with physician specialists. Our integrated care delivery system enables us to support partners as they navigate the complex healthcare environment.We have pioneered a physician-led, multi-site model of practice solutions that restores physician agency by...

  • Insurance Specialist

    1 week ago

    Myrtle Point, Oregon, United States SCA Health Full time

    Insurance SpecialistJOB_DESCRIPTION.SHARE.HTMLCAROUSEL_PARAGRAPHJOB_DESCRIPTION.SHARE.HTMLUnited StatesNCP RCOClaimsRegularFull-time1USD $21.00/Hr.USD $23.00/Hr.39803SCA Health Job Description OverviewToday, SCA Health has grown to 11,000 teammates who care for 1 million patients each year and support physician specialists holistically in many aspects of...

  • Insurance Specialist

    6 days ago

    Myrtle Point, Oregon, United States SCA Health Full time

    Insurance SpecialistJOB_DESCRIPTION.SHARE.HTMLCAROUSEL_PARAGRAPHJOB_DESCRIPTION.SHARE.HTMLUnited StatesNCP RCOClaimsRegularFull-time1USD $21.00/Hr.USD $23.00/Hr.39803SCA Health Job Description OverviewToday, SCA Health has grown to 11,000 teammates who care for 1 million patients each year and support physician specialists holistically in many aspects of...

  • Insurance Specialist

    4 days ago

    Myrtle Point, Oregon, United States SCA Health Full time

    Insurance SpecialistJOB_DESCRIPTION.SHARE.HTMLCAROUSEL_PARAGRAPHJOB_DESCRIPTION.SHARE.HTMLUnited StatesNCP RCOClaimsRegularFull-time1USD $21.00/Hr.USD $23.00/Hr.39803SCA Health Job Description OverviewToday, SCA Health has grown to 11,000 teammates who care for 1 million patients each year and support physician specialists holistically in many aspects of...

  • Insurance Account Specialist

    6 days ago

    Myrtle Point, Oregon, United States SCA Health Full time

    Serving patients with compassion and expertise is at the heart of what we do at SCA Health. As an Insurance Specialist, you will be an integral part of our team, working collaboratively to deliver exceptional patient care and achieve our business objectives.Key ResponsibilitiesAccount Balance Management: Ensure prompt and accurate credit balance research of...

  • Insurance Specialist

    1 week ago

    Myrtle Point, Oregon, United States SCA Health Full time

    Insurance SpecialistJOB_DESCRIPTION.SHARE.HTMLCAROUSEL_PARAGRAPH JOB_DESCRIPTION.SHARE.HTML* United States* NCP RCO* Claims* Regular* Full-time* 1* USD $21.00/Hr.* USD $23.00/Hr.* 39803SCA Health Job Description OverviewBe one of the first applicants, read the complete overview of the role below, then send your application for consideration.Today, SCA Health...

  • Insurance Specialist

    7 days ago

    Myrtle Point, Oregon, United States SCA Health Full time

    Today, SCA Health has grown to 11,000 teammates who care for 1 million patients each year and support physician specialists holistically in many aspects of patient care. Together, our teammates create value in specialty care by aligning physicians, health plans and health systems around a common goal: delivering on the quadruple aim of high-quality outcomes...

  • Insurance Specialist

    1 week ago

    Myrtle Point, Oregon, United States SCA Health Full time

    Company Overview">At SCA Health, we are dedicated to delivering high-quality patient care while supporting physician specialists in their endeavors. As a leading healthcare organization, we strive to create value in specialty care by aligning physicians, health plans, and health systems around a common goal: delivering on the quadruple aim of high-quality...

  • Medical Billing and Insurance Specialist

    1 week ago

    Myrtle Point, Oregon, United States SCA Health Full time

    The Ideal CandidateWe are seeking a highly organized and detail-oriented individual with excellent written and verbal communication skills. As a Patient Financial Specialist, you will be responsible for verifying patients' insurance coverage, communicating with insurance companies, and providing guidance on payment options and financial assistance...

  • Medical Insurance Coordinator

    1 week ago

    Myrtle Point, Oregon, United States SCA Health Full time

    Job Responsibilities">As an Insurance Specialist, you will be responsible for ensuring prompt and accurate credit balance research of patient accounts. This includes processing refunds, initiating insurance check refunds requests, and sending overpayment letters series to carriers that have overpaid per contract. Additionally, you will review and validate...