Accounts Receivable Billing Representative- Full Time - Bloomfield, CT, United States - SCA Health

    SCA Health
    SCA Health Bloomfield, CT, United States

    4 weeks ago

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    Full time
    Description
    Accounts Receivable Representative - Bloomfield Surgery Center

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    • Bloomfield Surgery Center
    • Billing
    • 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.

    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.
    Specifically, you will work in the Accounts Receivable, or A/R department, within our regional business office and will be responsible for thorough and timely patient account follow up to ensure accurate accounts receivable reporting; Contacting insurance companies by email and/or phone to collect payments
    * 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
    • 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
    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
    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
    *