Overview
SCA Health is part of Optum and focuses on specialty care through a network of ambulatory surgical centers, specialty physician practices, labs, and surgical hospitals. The organization emphasizes patient-centered care, quality, teamwork, and continuous improvement.
Responsibilities
- Work in the Accounts Receivable department within the regional business office.
- Perform timely patient account follow-up to ensure accurate accounts receivable reporting.
- Follow up with insurance companies and third-party payers to ensure accurate and timely payment.
- Collect revenue for surgical services performed, primarily from insurance companies rather than self-pay patients.
- Communicate with payer and provider relations representatives by email and phone.
- Handle contracted and non-contracted reimbursement issues, including HMO, PPO, EPO, POS, workers' compensation, self-pay, and third-party claims.
- Work denials and corrected claims with billers, business office management, insurance payers, and patients.
- Manage credit balances, patient balances, and insurance-related resolution.
- Maintain cash collection metrics and goals.
- Independently resolve second-level reimbursement issues and denied claims before and after procedures.
Environment
This is a fast-paced role that requires attention to detail, accountability, teamwork, professionalism, and a strong patient and customer service focus.
Requirements & Qualifications
Qualifications
- 1+ year of experience in a related role in a medical office, hospital, outpatient surgery center, or similar healthcare setting.
- Experience in medical insurance collections, billing, accounts receivable, collecting payments, or reimbursement follow-up.
- Related training, certificate, diploma, or degree may also be considered.
- Knowledge of Microsoft Office, including Excel and Word.
Preferred Qualifications
- High school diploma, GED, certificate, associate degree, or bachelor's degree.
- 2+ years of experience specifically in medical insurance collections, billing, or accounts receivable.
- Experience with medical billing software and applications.
- Basic knowledge of medical terminology and health insurance billing.
- Strong verbal and written communication skills.
- Ability to multitask, think critically, solve problems, and work in a fast-paced environment.
Benefits & Perks
Benefits
- Medical coverage
- Dental coverage
- Vision coverage
- 401(k) with company match
- Paid time off
- Life insurance
- Disability insurance
Location
North Carolina, US
Employment Type
Full-time
Experience Level
Entry Level
Remote work allowed
No
Posted
1 week ago