No more applications are being accepted for this job
- Bloomfield Surgery Center
- Billing
- Regular
- Full-time
- 1
- USD $16.00/Hr.
- USD $28.90/Hr.
- 32502 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.
- 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. The new SCA Health represents who we are today and where we are going—and the growing career opportunities for YOU.
- 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.
- Works closely with payer provider relations representatives
- Contacting insurance companies by email and/or phone to collect payments
- Handles contracted and non-contracted; HMO, PPO, EPO, POS, Worker's Com., self-pay and third-party reimbursement issues.
- Works 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.
- 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 USD $16.00/Hr. USD $28.90/Hr. PIe328701a4a5f
Accounts Receivable Representative - Bloomfield, CT, United States - SCA Health
Description
Accounts Receivable Representative - Bloomfield Surgery Center JOB_DESCRIPTION.SHARE.HTML CAROUSEL_PARAGRAPH JOB_DESCRIPTION.SHARE.HTML * Bloomfield, Connecticutdelivering 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.
You will: