Surgical Care Affiliates

  • Accounts Receivable Representative / Medical Collector

    Job Location US-CA-San Diego
    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:

     

    Surgical Care Affiliates in San Diego, CA is searching for an experienced Accounts Receivable Representative / Medical Collector. Our dynamic team of highly qualified professionals handle all Revenue Cycle related activities for multiple Ambulatory Surgery Centers caring for patient specialties including (but not limited to): Orthopedic, Ophthalmology, Pain Management, Gastroenterology, Otolaryngology, Plastic & Reconstructive Surgery, and Urology.  This local Centralized Business Office is dedicated to providing exceptional service to our patients, teammates, physicians, and partners.

     

    Our team members enjoy the following perks:

     

    • Competitive salary
    • Quarterly bonuses
    • Exceptional benefits (medical, dental, vision, 401K) that begin on the first day of employment
    • Positive, Values Based, Friendly Environment

    Accountabilities / Responsibilities

    The Accounts Receivable Representative (AR Rep) will be responsible for thorough and timely patient account follow up to ensure maximized and accurate accounts receivable reporting; to ensure payments by primary and secondary payers and/or self-pay patients.  The primary functions are timely resolution of patient balances, insurance claims and credit balance management. The AR Rep will be responsible for daily generation of patient statements.  The AR Rep will be responsible for answering patient calls and correspondence while providing timely, accurate, professional responses and resolution.  The AR Rep will function within the Center’s policies and procedures, support SCA Values, SCA Vision and SCA Mission.  

     

     

     

    Key Responsibilities:

    • Run appropriate Patient Accounting System Collection Reports by Payer and follows up on all accounts listed within 30 days.
    • Documents all follow up activities and communication with payors, patients or home office employees in PAS memo tickler, touching each account within 30 days.
    • Runs Payer Aging Report grouped by financial class to prioritize collection activities based on aging. Reviews with Revenue Cycle Manager weekly.
    • Files appeals to payors for denied, shortpaid, or unpaid accounts within 24 hours of receiving denial/shortpay/underpayment.
    • Upon notification that claim is pended for information from the patient, contact patient to communicate denial.
    • Utilizes payer websites for claim resolution whenever possible.
    • Works with Biller and PI review to resolve claim issues involving coding.
    • Prepare write off forms on accounts and forwards to Revenue Cycle Manager for approval with clear notation in memo tickler indicating why adjustment is being requested.
    • Assist patients with questions regarding their bills.
    • Communicate with the Revenue Cycle Manager, Payment Poster, Biller, and fellow AR Reps payer trends.
    • Credit Balance Resolution: Reviews all credit balances and notates action plan (refund overpayment letter etc) in PAS. Submits overpayment letters to payorsor calls payors to request recoup. Sets target date for follow up at minumum of every 30 days.
    • Has working knowledge of payor contract language, guidelines and reimbursement structures.

    Qualifications

    • Bachelor’s degree preferred but not required
    • High School Diploma
    • Strong customer service experience
    • 2+ years of experience in a Revenue Cycle role within a Medical Office, Hospital, or Ambulatory Surgery Center.
    • A/R, billing, insurance verification or customer service experience preferred
    • Ambulatory Surgery Center billing & collections experience preferred
    • Computer Experience: Microsoft Office Suite, Billing Software, & Patient Accounting Systems
    • Working knowledge of Medical Terminology, CPT Codes, & ICD 10
    • Healthcare experience a must

    Please click HERE to apply. 

    2020-6795

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