- We connect patients to physicians in new and differentiated ways as part of Optum and with our new Specialty Management Solutions business.
- 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.
- Primary functions are credit balance management, patient balance resolution and non-patient (insurance) resolution.
- 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.
- Effectively and independently handles second level reimbursement issues, contracted and non-contracted denials for serviced before and after procedures.
- Works all denials and corrected claims collaborating with the biller and/or Business Office Manager, insurance payers and/or patients on past due accounts.
- Follow center policies, procedures, and best practices for resolution and reassignment of accounts.
- Possess basic knowledge of medical terminology and health insurance billing.
- Have ability to communicate effectively with patient, physicians, and other teammates
- 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.
- Candidate MUST 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.
- Experience in a hospital, outpatient surgery center or related field is a MUST; Computer experience, Excel, Word, Medical Billing Software and Applications; Working knowledge of Medical Terminology.
-
SCA Health Boise, United StatesOverview: · 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 he ...
-
Administrative Assistant
2 weeks ago
SCA Health Boise, United StatesAdministrative Assistant - Treasure Valley Hospital · JOB_DESCRIPTION.SHARE.HTMLCAROUSEL_PARAGRAPH · JOB_DESCRIPTION.SHARE.HTMLBoise, Idaho · Treasure Valley Hospital · Admin Support Services · Regular · Full-time · 1 · USD $20.00/Hr. · USD $24.00/Hr. · 34232 · Job Description · ...
-
RN - Full Time Day & Night Shifts
1 week ago
Haven Behavioral Healthcare Boise, ID, United States Full timeWe are seeking talented Registered Nurses to join our team · Day Shift: 7a-7p (Weekend coverage needed) · Why Cottonwood Creek? · Cottonwood Creek Behavioral Hospital provides high-quality, specialty behavioral health services for individuals with mental health and substance ab ...
-
Pediatric Anesthesiologist
1 week ago
ANESTHESIA ASSOCIATES OF BOISE Boise, United StatesWe have a fantastic job opportunity for a board-certified/eligible generalist willing to do pediatrics cases as well as adults in the vibrant capital city of Boise, Idaho. · We are a group of 34 total anesthesiologists and 127 CRNAs (system-wide care team model), with six cardiac ...
-
asst dir
1 week ago
Intermountain Hospital Boise, United States Full timeJob Description · Responsibilities · Intermountain Hospital is looking for a dynamic Assistant Director of Assessment/Referral (Admissions) to assist the Director in the operations of the Assessment and Referral Department. This position will provide supervision and trainin ...
-
Lab Services Specialist
5 days ago
Saint Alphonsus Health System Boise, ID, United States Full timeEmployment Type: · Full timeShift: · Day ShiftDescription: · At Saint Alphonsus Health System, we are looking for people who are living out their calling. We want you to be passionate about coming to work, and challenged to achieve your potential. Living by these virtues, we prid ...
-
Outpatient Program Manager
4 weeks ago
Intermountain Hospital Boise, United States Full timeJob Description · Responsibilities · Intermountain Hospital is looking for a dynamic to work with a variety of patients If you have a desire to work in an engaging environment with a team of professionals dedicated to the healing and health of the patients we serve, we want t ...
-
RN- Medical Telemetry
1 week ago
St. Luke's Health System Boise, ID, United StatesSt. Luke's Health System is seeking a Registered Nurse (RN) Float Women's Services for a nursing job in Boise, Idaho. · Job Description & Requirements · ~ Specialty: Women's Services · ~ Discipline: RN · ~ Duration: Ongoing · ~36 hours per week · ~ Shift: 12 hours, days, ni ...
-
Phlebotomy Technician
1 day ago
Saint Alphonsus Health System Boise, ID, United States Full timeEmployment Type: · Full timeShift: · Day ShiftDescription: · At Saint Alphonsus Health System, we are looking for people who are living out their calling. We want you to be passionate about coming to work, and challenged to achieve your potential. Living by these virtues, we prid ...
-
Clinical Research Nurse
4 weeks ago
St. Luke's Health System Boise, United States OTHEROverview St. Luke's Health System in Boise is seeking a Clinical Research Nurse to join our Children/Adult Specialty Research team. · Schedule: · Monday - Friday 8 am to 5 pm (variable hours) · PRN weekends of 2-3 hours per shift. · Offering occasional hybrid work arrangements, ...
-
psych tech
6 days ago
Foundations for Living Boise, United States Full timeResponsibilities Intermountain Hospital is looking for a dynamic Psych Tech If you have a desire to work in an engaging environment with a team of professionals dedicated to the healing and health of the patients we serve, we want to hear from you · Shift: Full Time days – ...
-
Radiologic Technologist Weekend Days
6 days ago
Saint Alphonsus Health System Boise, ID, United StatesEmployment Type: · Full timeShift: · Day ShiftDescription: · Saint Alphonsus Health System has a weekend Radiologic Technologist opportunity in out Boise, Idaho location. · This position offers a sign-on bonus, generous relocation allowance, full benefits on date of hire and more ...
-
Oncology Hospitalist
6 days ago
Trinity Health Boise, ID, United StatesSaint Alphonsus Medical Group (SAMG) - a physician led and accountable 500+ provider multispecialty group practice with a multi-disciplinary team approach to patient care - is seeking an Oncology Hospitalist to join their team in Boise, Idaho. · The Oncology Hospitalist is respo ...
-
In-House Travel RN, Labor
4 weeks ago
St. Luke's Health System Boise, United States Full timeOverview · At St. Luke's, our dedicated team of RNs strive to build a positive, supportive, and inclusive culture that delivers exceptional patient experiences. · Do you want to experience the thrill of travel nursing without leaving Idaho and the St. Luke's Health System? Then ...
-
In-House Travel RN, Med/Surg
2 weeks ago
St. Luke's Health System Boise, United States Full timeOverview · At St. Luke's, our dedicated team of RNs strive to build a positive, supportive, and inclusive culture that delivers exceptional patient experiences. · Do you want to experience the thrill of travel nursing without leaving Idaho and the St. Luke's Health System? Then ...
-
Registered Nurse Circulator .6 FTE Part Time
2 weeks ago
St. Luke's Health System Boise, United States OTHEROverview St. Luke's Health System in Boise is seeking an Part Time RN Circulator to join our #Amazing Operating Room Surgical Services Team. We take care of you through our iCare values of Integrity, Compassion, Accountability, and Respect. Come join a team that is passionate a ...
-
SCA Health Boise, ID, United States Full timeOverview:*Treasure Valley Hospital* is a state-of-the surgical hospital physician owned and managed by SCA Health. We have 16 operating rooms and provide surgical care to patients with Anesthesiology, ENT, General, GYN, Neuro, Ortho, Urology, Cardiac, Radiology needs. *Treasure V ...
-
Registered Nurse
1 week ago
Sca Health Boise, United StatesOverview · Treasure Valley Hospital is a state-of-the surgical hospital physician owned and managed by SCA Health. We have 16 operating rooms and provide surgical care to patients with Anesthesiology, ENT, General, GYN, Neuro, Ortho, Urology, Cardiac, Radiology needs. Treasure V ...
-
Patient Account Representative-
1 week ago
SCA Health Boise, United StatesJob Description · Job DescriptionPatient Account Representative- - Treasure Valley HospitalJOB_DESCRIPTION.SHARE.HTMLCAROUSEL_PARAGRAPH · JOB_DESCRIPTION.SHARE.HTMLBoise, Idaho · Treasure Valley Hospital · Billing · Regular · Full-time · 2 · USD $20.00/Hr. · USD $23.00/Hr. · 3403 ...
-
Registered Nurse
2 weeks ago
SCA Health Boise, ID, United States Full timeOverview:*Treasure Valley Hospital* is a state-of-the surgical hospital physician owned and managed by SCA Health. We have 16 operating rooms and provide surgical care to patients with Anesthesiology, ENT, General, GYN, Neuro, Ortho, Urology, Cardiac, Radiology needs. *Treasure V ...
Patient Account Representative- Billing Office- Treasure Valley Hospital - Boise, United States - SCA Health
Description
OverviewToday, 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:
Responsibilities
The Patient Account Representative will be responsible for thorough and timely patient account follow up with insurances to ensure accurate accounts receivable reporting; to ensure payments by primary and secondary payers and/or self-pay patients are accurate. The PAR will be responsible for daily generation of patient statements. The PAR will be responsible for answering patient calls and correspondence while providing timely, accurate, professional responses and resolution. The PAR will function within the Center's policies and procedures, support SCA Values, SCA Vision and SCA Mission.
Key Responsibilities:
