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Laguna Woods

    Representative-D&S Clerk - Laguna Woods, CA, United States - SCA Health

    SCA Health
    SCA Health Laguna Woods, CA, United States

    2 weeks ago

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    Description
    Admission Representative Clerk - Memorial Care Surgery Center Laguna Woods

    HTML

    HTML

    • Laguna Woods, California
    • MemorialCare SC Laguna Woods
    • Healthcare Delivery
    • 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 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 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.
    Provide support to the facility by performing specific or various business office functions as assigned.

    These functions are to include (but not limited to): Medical Records, Credentialing, Admissions/Intake, Accounts Payable, Billing, Collections, Insurance Verification, Transaction, Posting, Clinical Logs and other duties as assigned.


    • Answers phone in a pleasant manner and deals with physician offices and patient's needs expeditiously. Experience verifying insurance coverage, eligibility and benefits using payer websites, as well experience obtaining authorizations and pre-certs is a plus. Does pre-registration and makes sure that authorization is obtained from the physician's office prior to surgery scheduled. Completes necessary paperwork for registration and uses computer system to generate information for surgical/special procedure.
    • Performs various clerical duties such as photocopying forms, reports, patient information, mailing surveys, preparing patient charts, faxing forms and retrieving faxes as needed.
    • Maintains clean and orderly surgery scheduling area.
    • Patients with a financial responsibility are contacted immediately and informed of the center's payment policies as well as offered payment options if necessary.
    • All insurance verification and patient calls are clearly documented in the patient's account.
    High School graduate or equivalent required

    • Clerical experience, preferably in a health care environment - Required
    *
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