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Accounts Receivable Specialist

4 weeks ago


Myrtle Point, Oregon, United States SCA Health Full time
Accounts Receivable Representative

Join SCA Health, a dynamic group of physician-driven, specialty care businesses, as an Accounts Receivable Representative. In this role, you will work in the Accounts Receivable department, responsible for thorough and timely patient account follow-up to ensure accurate accounts receivable reporting. You will work closely with insurance companies and third-party payers to collect revenue for surgical services performed.

Responsibilities
  • Collect payments from insurance companies and third-party payers
  • Work closely with payer provider relations representatives
  • Contact insurance companies by email and/or phone to collect payments
  • Handle contracted and non-contracted; HMO, PPO, EPO, POS, Worker's Com., self-pay and third-party reimbursement issues
  • Work all denials and corrected claims collaborating with the biller and/or Business Office Manager, insurance payers and/or patients on past due accounts
  • Primary functions are credit balance management, patient balance resolution and non-patient (insurance) resolution
  • Ensure payments by primary and secondary payers and/or self-pay patients are accurate
  • Responsible for thorough and timely patient account follow-up to ensure accurate accounts receivable reporting
  • Accurate and timely follow-up and resolution for all accounts receivable
  • Meeting and maintaining cash collection metrics and goals
  • Effectively and independently handles second-level reimbursement issues, contracted and non-contracted denials for serviced before and after procedures

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.

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
  • In lieu of on-the-job experience--- new or recent college and university graduates with a desire to work in a challenging position within the healthcare industry that have completed an Associate's Degree or Bachelor's Degree will be considered
  • Knowledge of MS Office including Excel and Word

Preferred Qualifications

  • High school diploma, GED, related certificate/diploma of related training or Associate's Degree or Bachelor's Degree
  • Ideally two or more years' experience working specifically into medical insurance collections, billing, accounts receivable, A/R, collecting payments, collecting re-imbursements from payer organizations or from the insurance company side
  • Experience with Medical Billing Software and Applications
  • Possess basic knowledge of medical terminology and health insurance billing
  • Strong communication skills, both verbally and in writing
  • Customer service and patient service focus
  • Ability to multi-task, think critically, and solve problems
  • Ability to work in a fast-paced environment