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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. Please visit, 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

In this role, you will play a vital role in ensuring accurate and timely billing processes, ultimately supporting our mission to provide exceptional care to our patients and ensure timely and complete payments to our Practice. This position prepares and submits claims to insurance companies for medical services provided to patients.

+ Complete daily tasks of billing such as sending out claims, following up with carriers, and collecting patient payments.

+ Communicate with insurance companies, patients, and healthcare providers to resolve any billing discrepancies or issues.

+ Ensure patients’ medical information and billing is accurate and up to date.

+ Submit accurate primary & secondary insurance claims to insurance providers following agency and payer guidelines.

+ Perform accurate Time of Billing adjustments for clinic and surgical encounters based on the appropriate contract.

+ Post charges and ensure completion of claims to payers in a timely fashion.

+ Knowledge of multiple insurance contracts, Medicare, and W/C Fee Schedule.

+ Answer patient phone calls and reviews patient statements.

+ Meet monthly collection goals.

+ Meet monthly AR timeliness goals.

+ Participates in other revenue cycle functions as needed.

+ Maintain patient confidentiality.

+ Pull reports and manage worklists.

Qualifications

Education Required:

+ High school graduate or equivalent

Experience Required:

+ Minimum 2-3 years’ experience in insurance collections

+ Direct experience with patient and insurance collections

+ Knowledge of medical and insurance terminology

+ Billing knowledge and experience in ____specialty preferred

Preferred Skills:

+ Knowledge of computers, faxes, printers, and all other equipment.

+ Proficient in MS Office programs (i.e., Word, Excel, Outlook, Forms, Access, and Power Point).

+ Ability to deal with responsibility with confidential matters.

+ Ability to work in a multi-task, high-stress environment.

USD $23.00/Hr. USD $28.00/Hr.