[Remote] Accounts Receivable Representative

Note: The job is a remote job and is open to candidates in USA. SCA Health is a healthcare organization focused on providing patient-centered practice solutions. They are seeking an Accounts Receivable Representative to manage patient account follow-ups, ensure accurate accounts receivable reporting, and collaborate with insurance companies for payment collection.

Responsibilities

• The work schedule will be Monday - Friday, with hours anywhere between 7am - 4:30pm EST / 6am - 3:30pm CST **
• Specifically, you will work in the Accounts Receivable, or A/R department, within our regional business office and will be responsible for thorough and timely patient account follow up to ensure accurate accounts receivable reporting; following up with insurance companies and/or third party payers to ensure payments by primary and secondary payers and/or self-pay patients are accurate and timely
• You will:
• 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.Works closely with payer provider relations representativesContacting insurance companies by email and/or phone to collect paymentsHandles 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 accountsPrimary functions are credit balance management, patient balance resolution and non-patient (insurance) resolutionEnsure payments by primary and secondary payers and/or self-pay patients are accurateResponsible for thorough and timely patient account follow up to ensure accurate accounts receivable reportingAccurate and timely follow up and resolution for all accounts receivable.Meeting and maintaining cash collection metrics and goalsEffectively 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

Skills

• High School Diploma or GED
• Recent healthcare Denials and appeals experience
• Familiarity with EOB and reading medical policies from payers
• Healthcare experience
• Strong preference to have Laboratory and/or Pathology A/R experience

Benefits

• Medical, dental, and vision coverage
• 401k plan with company match
• Paid time off
• Life and disability insurance
• And more

Company Overview