Accounts Receivable Representative

US-SD-Dakota Dunes
# of Openings: 1
Category: Corporate
System ID: 17688
Group Name: Pioneer
Overview
Surgical 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 10,000 teammates operate more than 250 surgical facilities that serve nearly 1 million patients per year. For more information on SCA, visit www.scasurgery.com.
Why join SCA? Consider the following fantastic benefits…
Positive work culture
Career growth opportunities
Comprehensive medical, vision and dental insurance – eligible on Day 1 of employment
Paid time off plus 8 paid holidays
Maternity/paternity/adoption benefits
Employer-paid life and short- and long-term disability insurance
Excellent 401(k) Plan

Accountabilities / Responsibilities
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:
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 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
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.
Qualifications
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
In 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 Word

Preferred Qualifications
High school diploma, GED, related certificate/diploma of related training or Associate’s Degree or Bachelor’s Degree
Ideally 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 side
Experience with Medical Billing Software and Applications
Possess basic knowledge of medical terminology and health insurance billing.
Strong communication skills, both verbally and in writing
Customer service and patient service focus
Ability to multi-task, think critically, and solve problems
Ability to work in a fast-paced environment