Note: The job is a remote job and is open to candidates in USA. SCA Health is a specialty care organization supporting ambulatory surgical centers, physician practices, labs, and surgical hospitals. The Associate Accounts Receivable Representative manages patient account follow-up, insurance and third-party payer reimbursement, denials, claims, and payment collection to support accurate accounts receivable reporting and revenue cycle operations.
Responsibilities
- Ensure payments by primary and secondary payers and/or self-pay patients are accurate
- 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
- This 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
- Works closely with payer provider relations representatives
- Contacting insurance companies by email and/or phone to collect payments
- Handles 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 accounts
- Primary functions are credit balance management, patient balance resolution and non-patient (insurance) resolution
- 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
Skills
- Minimum of a High School Diploma or GED
- Recent Healthcare Denials and appeals experience
- Familiarity with EOB and reading medical policies from payers
Benefits
- Medical coverage
- Dental coverage
- Vision coverage
- 401k plan with company match
- Paid time off
- Life insurance
- Disability insurance
- Health and dental insurance options, PTO, 401K, and more, all of which begin on your first day of employment
Company Overview