Associate Accounts Receivable Representative

Summary: SCA Health is a leading organization in specialty care, focused on providing patient-centered practice solutions across a network of ambulatory surgical centers and specialty physician clinics. The Associate Accounts Receivable Representative will be responsible for ensuring accurate accounts receivable reporting and timely follow-up with insurance companies and third-party payers to collect payments for services rendered. Responsibilities: - 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 Required Qualifications: - High School Diploma or GED - Denials and appeals experience - Familiarity with EOB and reading medical policies from payers - Healthcare experience Required Skills: Denials, appeals experience, Healthcare experience Important Skills: EOB, Reading medical policies Nice-to-Have Skills: High School Diploma Benefits: Medical, dental, and vision coverage, 401k plan with company match, Paid time off, Life and disability insurance