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
Accountabilities / 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.
Requirements for our roles:
Bachelor's degree preferred but not required
Denials experience a must
Must be experienced with appeals
Familiarity with reading medical policies from payers
Healthcare experience a must
Local to Sacramento or within driving distance
EEO StatementWe 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, a leader in the outpatient surgery industry, strategically partners with health plans, medical groups and health systems across the country to develop and optimize surgical facilities. SCA operates more than 210 surgical facilities, including ambulatory surgery centers and surgical hospitals, in partnership with approximately 7,500 physicians. For more information on SCA, visit www.scasurgery.com.
Surgical Care Affiliates