SCA Job - 35117225 | CareerArc
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Company: SCA
Location: Sacramento, CA
Career Level: Associate
Industries: Healthcare, Pharmaceutical, Biotech

Description

Join Our Amazing Team! Surgical Care Affiliates in Sacramento, CA has many exciting opportunities within our Revenue Cycle Group and we'd love to hear from you! If you are interested in becoming part of an organization that is helping to improve healthcare, then SCA is the place for you. Your experience in accounts receivable is exactly what we are looking for!

BENEFITS TO WORKING FOR US:

  • We value results more than face-time
  • We promote flexible schedules
  • Our benefits begin on day one of employment
  • We are committed to having a healthy work environment
  • We are committed to work-life balance
  • Our team members are encouraged to volunteer and work on passion projects
  • We host social events and group activities throughout the year
  • We promote and encourage self-care

The “Medical Insurance Collections- Accounts Receivable Representative” 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. This role is a vital position in the revenue cycle process. The ‘A/R Rep' will function within the Center's policies and procedures, support SCA Values, SCA Vision and SCA Mission. In return, we offer a great benefits package including health and dental insurance options, PTO, 401K, and more. All of which begin on your first day of employment.

Specifically, 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:

  • 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.

Requirements for our roles:

  • HS Degree or GED required; Bachelor's degree preferred but not required
  • Denials experience a must
  • Must be experienced with appeals
  • Familiarity with reading medical policies from payers
  • EOB familiarity
  • Healthcare experience a must
  • Local to Sacramento or within driving distance

EEO Statement
We value Diversity, Inclusion, and Belonging at Surgical Care Affiliates: SCA is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, national origin, disability and genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

#SCA #SurgicalCareAffiliates



Qualifications

Requirements for our roles:

  • HS Degree or GED required; Bachelor's degree preferred but not required
  • Denials experience a must
  • Must be experienced with appeals
  • Familiarity with reading medical policies from payers
  • EOB familiarity
  • Healthcare experience a must
  • Local to Sacramento or within driving distance

EEO Statement
We value Diversity, Inclusion, and Belonging at Surgical Care Affiliates: SCA is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, national origin, disability and genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

#SCA #SurgicalCareAffiliates



Responsibilities

The “Medical Insurance Collections- Accounts Receivable Representative” 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. This role is a vital position in the revenue cycle process. The ‘A/R Rep' will function within the Center's policies and procedures, support SCA Values, SCA Vision and SCA Mission. In return, we offer a great benefits package including health and dental insurance options, PTO, 401K, and more. All of which begin on your first day of employment.

Specifically, 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:

  • 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.


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