Surgery Care Affiliates Patient Account Representative (FT) - Treasure Valley Hospital in Boise, Idaho
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
Employer-paid life and short- and long-term disability insurance
Excellent 401(k) Plan
Accountabilities / Responsibilities
The Patient Account Representative will be responsible for thorough and timely patient account follow up with insurances to ensure accurate accounts receivable reporting; to ensure payments by primary and secondary payers and/or self-pay patients are accurate. The PAR will be responsible for daily generation of patient statements. The PAR will be responsible for answering patient calls and correspondence while providing timely, accurate, professional responses and resolution. The PAR will function within the Center’s policies and procedures, support SCA Values, SCA Vision and SCA Mission.
Key Responsibilities :
Primary functions are credit balance management, patient balance resolution and non-patient (insurance) resolution.
Accurate and timely follow up and resolution for all accounts receivable.
Meeting and maintaining cash collection metrics and goals.
Maximized facility reimbursement.
Understands each payer contract and will utilize to ensure payments received are correct.
Understands and can explain the Explanation of Benefits received from any payer.
Works closely with payer provider relations representatives.
Has thorough knowledge of ASC Allowable procedures.
Handles contracted and non-contracted; HMO, PPO, EPO, POS, Worker’s Com., self-pay and third-party reimbursement issues.
Effectively and independently handles second level reimbursement issues, contracted and non-contracted denials for serviced before and after procedures.
Works all denials and corrected claims collaborating with the biller and/or Business Office Manager, insurance payers and/or patients on past due accounts.
Follow center policies, procedures, and best practices for resolution and reassignment of accounts.
Possess basic knowledge of medical terminology and health insurance billing.
Have ability to communicate effectively with patient, physicians, and other teammates
Associate’s Degree or equivalent from a two-year College or technical school; and two years’ experience in a medical office as a patient account representative.
Candidate MUST HAVE knowledge of medical billing, payer follow-up, payer contracts, appeals, self-pay billing, Medicare and Medicaid billing, AR posting, along with excellent customer service skills.
Experience in a hospital, outpatient surgery center or related field is a MUST; Computer experience, Excel, Word, Medical Billing Software and Applications; Working knowledge of Medical Terminology.
SCA requires all new hires and employees to report their COVID-19 vaccination status. SCA will also adhere to all federal, state and local regulations as well as related company policy. When required, SCA will obtain necessary proof of vaccination prior to employment to ensure compliance.
As a representative of Surgical Care Affiliates, all comments, attitudes, actions, and behaviors have a direct impact on the Facility’s success. Interaction with patients, families, physicians, referral sources, affiliated schools, visitors, volunteers, co-workers, supervisors, vendors, etc. must be in a manner that is friendly, supportive, courteous, respectful, cooperative, and professional. This behavior should promote an atmosphere of teamwork, a culture of safety, and in accordance with SCA Core Values.
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.
Job Locations US-ID-Boise
# of Openings 1
System ID 17740
Employee Type Regular
Employee Status Full-time
Group Name EPIC