Overview

At SCA Health, we believe health care is about people – the patients we serve, the physicians we support and the teammates who push us forward. Behind every successful facility, procedure or innovation is a team of 15,000+ professionals working together, learning from each other and living out the mission, vision and values that define our organization.

As part of Optum, SCA Health is redefining specialty care by developing more accessible, patient-centered practice solutions for a network of more than 370 ambulatory surgical centers, over 400 specialty physician practice clinics and numerous labs and surgical hospitals. Our work spans a broad spectrum of services, all designed to support physicians, health systems and employers in delivering efficient, value-based care to patients without compromising quality or autonomy.

What sets SCA Health apart isn’t just what we do, it’s how we do it. Each decision we make is rooted in seven core values:

+ Clinical quality

+ Integrity

+ Service excellence

+ Teamwork

+ Accountability

+ Continuous improvement

+ Inclusion

Our values aren’t empty words – they inform our attitudes, actions and culture. At SCA Health, your work directly impacts patients, physicians and communities. Here, you’ll find opportunities to build your career alongside a team that values your expertise, invests in your success, and shares a common mission to care for patients, serve physicians and improve health care in America.

At SCA Health, we offer a comprehensive benefits package to support your health, well-being, and financial future. Our offerings include medical, dental, and vision coverage, 401k plan with company match, paid time off, life and disability insurance, and more. Click here (https://careers.sca.health/why-sca) to learn more about our benefits.

Your ideas should inspire change. If you join our team, they will.

Responsibilities

+ Assures prompt, accurate credit balance research of patient accounts.

+ Processes refunds and initiates insurance check refunds requests in Accounts Payable system.

+ Sends overpayment letters series to carriers that have overpaid per contract.

+ Reviews and validates written requests received from insurances.

+ Submits payer disputes as needed.

+ Answers calls and inquiries from third-party carriers in reference overpayments or refunds requests.

+ Follows up on all outstanding credit accounts.

+ Calculate and verify expected pay based on contractual allowances for multiple payers.

+ Documents all work performed in patient accounting system.

+ Review of patient account history and notes to determine next step required for resolution per company guidelines.

+ Process contractual adjustment requests as needed to correct account balances.

+ Promptly processes all government refunds within timelines.

+ Runs monthly credit reports to verify that checks issued have been posted.

+ Performs all other duties as assigned by supervisor.

Qualifications

+ Excellent telephone skills & Customer Service Skills

+ High level of self-organization and tracking

+ Works independently, is a self-starter with a high level of initiative

+ Strong communication skills, both verbally and in writing

+ Possesses accurate judgement, especially handling insurance claims and dealing with patient accounts.

+ Versatile and willing to coordinate with and participate in, when necessary, all other aspects of the Business Office.

+ Ability to handle confidential information.

+ Possess basic knowledge of medical terminology.

+ Possess knowledge of health insurance billing.

+ Read and interpret EOBs and can calculate expected allowances based on payer contracts to determine reason for balance.

+ Possess knowledge of typing, word processing, spreadsheet and computer billing systems.

+ Must be dependable and reliable.

+ Ability to multi-task, think critically, and solve problems

+ 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

USD $19.00/Hr. USD $21.00/Hr.