Healthcare Account Specialist
1 week ago
As a Patient Account Representative with SCA Health, you will play a vital role in ensuring accurate and timely patient account follow-up with insurances to guarantee accurate accounts receivable reporting. Your primary functions include credit balance management, patient balance resolution, and non-patient (insurance) resolution.
You will be responsible for daily generation of patient statements, answering patient calls and correspondence while providing timely, accurate, professional responses and resolution. You will function within the Center's policies and procedures, support SCA Values, SCA Vision, and SCA Mission.
Main Responsibilities:- Accurate and timely follow up and resolution for all accounts receivable.
- Meeting and maintaining cash collection metrics and goals.
- Maximized facility reimbursement.
- Understands each payer contract and will utilize to ensure payments received are correct.
- Understands and can explain the Explanation of Benefits received from any payer.
- Works closely with payer provider relations representatives.
- Has thorough knowledge of ASC Allowable procedures.
- Handles contracted and non-contracted; HMO, PPO, EPO, POS, Worker's Com., self-pay and third-party reimbursement issues.
SCA Health is a dynamic group of physician-driven, specialty care businesses that enables us to customize solutions, no matter the need or challenge. Our new SCA Health represents who we are today and where we are going—and the growing career opportunities for YOU.
BenefitsThe estimated salary for this position is between $19.00 and $22.00 per hour, depending on experience. In addition to a competitive salary, we offer a range of benefits, including health insurance, retirement plans, and paid time off.
This role requires an Associate's Degree or equivalent from a two-year College or technical school; and two years' experience in a medical office as a patient account representative. The ideal candidate will have knowledge of medical billing, payer follow-up, payer contracts, appeals, self-pay billing, Medicare and Medicaid billing, AR posting, along with excellent customer service skills.
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