Accounts Receivable Representative, Pool - Northwest Florida Surgery Center jobs in United States
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SCA Health · 1 day ago

Accounts Receivable Representative, Pool - Northwest Florida Surgery Center

SCA Health is a healthcare organization focused on redefining specialty care through patient-centered solutions. The Accounts Receivable Representative will be responsible for managing patient account follow-ups, ensuring accurate accounts receivable reporting, and collecting payments from insurance companies.

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Responsibilities

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

Qualification

Medical insurance collectionsAccounts receivableMedical billing softwareMS OfficeCustomer service focusMulti-taskingCommunication skillsProblem-solving

Required

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

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

Benefits

Medical, dental, and vision coverage
401k plan with company match
Paid time off
Life and disability insurance

Company

SCA Health

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SCA Health is a national surgical and practice management company serving over two million patients each year at more than 370 clinical locations and 250 physician practice clinics.

Funding

Current Stage
Public Company
Total Funding
$25.75M
2017-02-21Acquired
2013-11-08IPO
2011-10-05Seed· $0.75M

Leadership Team

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Brian J Rye
Group CEO Melbourne Surgery Center/SCA and Orlando Center for Outpatient Surgery/SCA
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Tim Szott
Vice President Operations
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Company data provided by crunchbase