Surgical Care Affiliates SCA Hiring For Patient Account Representative (ft) at Boise, ID, United States Full Time

Job Description

Overview:

Surgical Care Affiliates (SCA) is transforming specialty care in our communities. We relentlessly create value by aligning physicians, health plans and health systems around a common goal: delivering exceptional care and healing to our patients and communities we serve. We are driven to achieve the quadruple aim in health care: high quality outcomes and a better experience for patients and providers, all at a lower total cost of care. As a national leader in surgical care, SCA’s 10,000 teammates operate more than 250 surgical facilities that serve nearly 1 million patients per year. For more information on SCA, visit www.scasurgery.com.

Why join SCA? Consider the following fantastic benefits…

• Positive work culture
• Career growth opportunities
• Comprehensive medical, vision and dental insurance – eligible on Day 1 of employment
• Paid time off plus 8 paid holidays
• Maternity/paternity/adoption benefits
• Employer-paid life and short- and long-term disability insurance
• Excellent 401(k) Plan

Accountabilities / 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:

• 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

Qualifications:

• 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.