Patient Account Representative

Overview

SCA Health is a healthcare organization focused on specialty care, patient-centered practice solutions, and supporting physicians and health systems across ambulatory surgical centers, specialty physician practice clinics, labs, and surgical hospitals.

Responsibilities

The Patient Account Representative is responsible for timely patient account follow-up with insurance payers to ensure accurate accounts receivable reporting and correct payments from primary and secondary payers and self-pay patients. This role also handles daily patient statement generation, patient calls, and correspondence while providing accurate, professional responses and resolutions.

The position works within center policies and procedures and supports SCA Health’s mission, vision, and values.

Key Duties

• Manage credit balances, patient balance resolution, and insurance resolution
• Perform accurate and timely follow-up on all accounts receivable
• Meet cash collection metrics and reimbursement goals
• Review payer contracts and explanation of benefits (EOBs)
• Work with payer provider relations representatives
• Handle contracted and non-contracted reimbursement issues
• Resolve denials and corrected claims with billers, management, payers, and patients
• Follow center policies and best practices for account resolution and reassignment
• Communicate effectively with patients, physicians, and team members