Surgical Care Affiliates

  • Patient Account Representative

    Job Location US-AK-Anchorage
    Type
    Full-Time
    # of Openings
    1
  • Overview

    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

     

    Facility Description:

     

    We are Alaska’s premier Ambulatory Surgery Center and growing.

     

    The Alaska Surgery Center provides same day surgery with 23 hour observation, in the areas including Orthopedics, Podiatry, Ophthalmology, ENT, Plastics, Dentistry, Urology, Neurosurgery, Gynecology, and General Surgery. We currently have approximately 43 physician owners in a broad spectrum of specialties. We take pride in our excellent patient care and being the number one Surgery Center of choice in Alaska.

     

    If you are looking for the best of the best in employers and wanting to spend more time with your family then look no further. No weekend, on-call or night shifts. We are interested in your expertise and look forward to hearing from you.

    Accountabilities / Responsibilities

    “Local Hire Only”

     

    The PAR 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

    Qualifications

    • Associate’s Degree or equivalent from a two-year College or technical school; or one to three years’ experience in a medical office, hospital, outpatient surgery center or related field
    • Computer experience, Excel, Word, Medical Billing Software and Applications
    • Working knowledge of  Medical Terminology

    Please send resumes to Yadira.halverson@scasurgery.com

    2019-5006

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