Surgical Care Affiliates

  • Medical Collector

    Job Location US-CA-Sacramento
    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:

    Centralized Billing Office

    Accountabilities / Responsibilities

    The Medical Collector will be responsible for thorough and timely account follow up to ensure payments by primary and secondary payers and/or self-pay patients are accurate.  The Medical Collector will be responsible for daily generation of patient statements, filing appeals and working of all insurance denials.  The collector will be responsible for answering patient calls and correspondence while providing timely, accurate, professional responses and resolution.

     

    Key Responsibilities:

    • Primary functions are resolution of patient balances, insurance claims, and credit balance management.
    • Accurate and timely follow up of resolution for all accounts receivable. Per Collection policy all claims must have documented follow-up (every 30 days)
    • 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 Revenue Cycle Manager, insurance payers and/or patients on past due accounts.

    Qualifications

    • High school diploma or equivalent; Associate’s Degree or equivalent from a two-year College or technical school preferred
    • Three – five 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 click HERE to apply. 

    2020-6742

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