Patient Engagement Specialist
2 weeks ago
SCA Health is a leading organization dedicated to enhancing patient care through innovative solutions. With a robust team of over 11,000 professionals, we are committed to serving 1 million patients annually, ensuring a seamless experience for both patients and healthcare providers. Our mission is to deliver exceptional outcomes while maintaining a focus on cost-effective care.
As part of our integrated care delivery system, we collaborate with various healthcare partners to navigate the complexities of the healthcare landscape. Our unique approach allows us to tailor solutions that meet diverse needs and challenges:
- We facilitate connections between patients and healthcare providers through advanced communication methods.
- Our physician-led model empowers practitioners by aligning incentives that promote growth and transition to value-based care.
- We are at the forefront of value-based payment solutions, offering straightforward billing processes for patients.
- Our services extend beyond surgical procedures, encompassing anesthesia and ancillary services.
The evolving landscape of SCA Health reflects our commitment to innovation and the expanding career opportunities available.
Key Responsibilities
Work Schedule: Monday - Friday, 10:30 AM - 7:00 PM CST / 11:30 AM - 8:00 PM EST
The Patient Engagement Specialist primarily interacts with patients through inbound and outbound communications, addressing inquiries and providing assistance. Responsibilities include:
- Handling incoming calls from patients and initiating outbound calls as needed.
- Striving for one-call resolution for patient inquiries and ensuring timely follow-up on escalated issues.
- Responding to all patient voicemails within a 24-hour timeframe.
- Educating patients on understanding their Explanation of Benefits (EOB).
- Processing payments and providing necessary documentation and records.
- Consistently meeting defined performance metrics.
- Interpreting contracts with insurance providers.
- Assessing accounts for potential adjustments or refunds.
- Verifying insurance coverage and updating patient demographic information.
- Researching and resolving missing payments.
- Reviewing clinical data to determine the need for coding evaluations.
Qualifications
- High school diploma or GED is required.
- Preferred experience in customer service.
- Experience in accounts receivable, billing, insurance verification, or customer service is advantageous.
- Healthcare experience is preferred.
- Bilingual candidates are preferred.
Compensation: USD $21.00/Hr. to USD $25.00/Hr.
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