Accounts Receivable Representative (FT) - Advanced Surgical Hospital

Company: SCA Health
Location: Washington
Posted on: June 25, 2022

Job Description:

US-PA-Washington# of Openings: 1Category: OtherSystem ID: 22060Group Name: AcelaOverviewSurgical 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 11,000 teammates operate more than 260 surgical facilities that serve over 1 million patients per year. For more information on SCA, visit www.scasurgery.com.Why join SCA? Consider the following fantastic benefits...Positive work cultureCareer growth opportunitiesComprehensive medical, vision and dental insurance - eligible on Day 1 of employmentPaid time off plus 8 paid holidaysMaternity/paternity/adoption benefitsEmployer-paid life and short- and long-term disability insuranceExcellent 401(k) Plan Accountabilities / ResponsibilitiesSpecifically, 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; following up with insurance companies and/or third party payers to ensure payments by primary and secondary payers and/or self-pay patients are accurate and timely. You will: 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 representativesContacting insurance companies by email and/or phone to collect paymentsHandles 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 accountsPrimary functions are credit balance management, patient balance resolution and non-patient (insurance) resolutionEnsure payments by primary and secondary payers and/or self-pay patients are accurateResponsible for thorough and timely patient account follow up to ensure accurate accounts receivable reportingAccurate and timely follow up and resolution for all accounts receivable.Meeting and maintaining cash collection metrics and goalsEffectively and independently handles second level reimbursement issues, contracted and non-contracted denials for serviced before and after proceduresThis 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. QualificationsOne 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/diplomasIn 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 WordPreferred QualificationsHigh school diploma, GED, related certificate/diploma of related training or Associate's Degree or Bachelor's DegreeIdeally 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 sideExperience with Medical Billing Software and ApplicationsPossess basic knowledge of medical terminology and health insurance billing.Strong communication skills, both verbally and in writingCustomer service and patient service focusAbility to multi-task, think critically, and solve problemsAbility to work in a fast-paced environmentPI181842106

Keywords: SCA Health, Pittsburgh , Accounts Receivable Representative (FT) - Advanced Surgical Hospital, Healthcare , Washington, Pennsylvania