Insurance Specialist (FT) - LaVeta Surgical Center
Company: SCA Health
Location: Orange
Posted on: June 25, 2022
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Job Description:
US-CA-Orange# of Openings: 1Category: OtherSystem ID: 21924Group
Name: TGSOverviewSurgical Care Affiliates (SCA) is transforming
specialty care in our communities. We relentlessly create value by
aligning physicians, health plans and health systems around a
common goal: delivering exceptional care and healing to our
patients and communities we serve. We are driven to achieve the
quadruple aim in health care: high quality outcomes and a better
experience for patients and providers, all at a lower total cost of
care. As a national leader in surgical care, SCA's 11,000 teammates
operate more than 260 surgical facilities that serve over 1 million
patients per year. For more information on SCA, visit
www.scasurgery.com.Why join SCA? Consider the following fantastic
benefits...Positive work cultureCareer growth
opportunitiesComprehensive medical, vision and dental insurance -
eligible on Day 1 of employmentPaid time off plus 8 paid
holidaysMaternity/paternity/adoption benefitsEmployer-paid life and
short- and long-term disability insuranceExcellent 401(k) Plan
Accountabilities / ResponsibilitiesAssures prompt, accurate credit
balance research of patient accounts.Processes refunds and
initiates insurance check refunds requests in Accounts Payable
system.Sends overpayment letters series to carriers that have
overpaid per contract.Reviews and validates written requests
received from insurances.Submits payer disputes as needed.Answers
calls and inquiries from third-party carriers in reference
overpayments or refunds requests.Follows up on all outstanding
credit accounts.Calculate and verify expected pay based on
contractual allowances for multiple payers.Documents all work
performed in patient accounting system.Review of patient account
history and notes to determine next step required for resolution
per company guidelines.Process contractual adjustment requests as
needed to correct account balances.Promptly processes all
government refunds within timelines.Runs monthly credit reports to
verify that checks issued have been posted.Performs all other
duties as assigned by supervisor. QualificationsExcellent telephone
skills & Customer Service SkillsHigh level of self-organization and
trackingWorks independently, is a self-starter with a high level of
initiativeStrong communication skills, both verbally and in
writingPossesses accurate judgement, especially handling insurance
claims and dealing with patient accounts. Versatile and willing to
coordinate with and participate in, when necessary, all other
aspects of the Business Office.Ability to handle confidential
information. Possess basic knowledge of medical terminology.Possess
knowledge of health insurance billing. Read and interpret EOBs and
can calculate expected allowances based on payer contracts to
determine reason for balance.Possess knowledge of typing, word
processing, spreadsheet and computer billing systems.Must be
dependable and reliable.Ability to multi-task, think critically,
and solve problemsOne or more years' experience in a related
position working in a medical office, hospital, outpatient surgery
center or related field with core duties related to medical
insurance collections, billing, accounts receivable, A/R,
collecting payments, collecting re-imbursements, or related
training/certificates/diplomasPI181456880
Keywords: SCA Health, Orange , Insurance Specialist (FT) - LaVeta Surgical Center, Healthcare , Orange, California
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