Kansas Action for Children, Inc
Accounts Receivable Representative - KU Indian Creek Campus
Kansas Action for Children, Inc, Topeka, Kansas, United States,
Job Description
OverviewToday, SCA Health has grown to 11,000 teammates who care for 1 million patients each year and support physician specialists holistically in many aspects of patient care. Together, our teammates create value in specialty care by aligning physicians, health plans, and health systems around a common goal: delivering on the quadruple aim of high-quality outcomes and a better experience for patients and providers, all at a lower total cost of care.As part of Optum, we participate in an integrated care delivery system that enables us to support our partners as they navigate a complex healthcare environment. Only SCA Health has a dynamic group of physician-driven, specialty care businesses that allow us to customize solutions, no matter the need or challenge:We connect patients to physicians in new and differentiated ways as part of Optum and with our new Specialty Management Solutions business.We have pioneered a physician-led, multi-site model of practice solutions that restores physician agency by aligning incentives to support growth and transition to value-based care.We lead the industry in value-based payment solutions through our Global 1 bundled payment convener, that provides easy predictable billing to patients.We help physicians address everything beyond surgical procedures, including anesthesia and ancillary service lines.The new SCA Health represents who we are today and where we are going-and the growing career opportunities for YOU.Responsibilities
Work in the Accounts Receivable, or A/R department, within our regional business office.Thorough and timely patient account follow-up to ensure accurate accounts receivable reporting.Follow up with insurance companies and/or third-party payers to ensure accurate and timely payments.Collect revenue for surgical services performed.Focus on collecting payments from insurance companies rather than self-payers/individuals.Collaborate with payer provider relations representatives.Contact insurance companies by email and/or phone to collect payments.Handle contracted and non-contracted; HMO, PPO, EPO, POS, Worker’s Com., self-pay, and third-party reimbursement issues.Work on denials and corrected claims, credit balance management, patient balance resolution, and non-patient (insurance) resolution.Ensure accurate payments by primary and secondary payers and/or self-pay patients.Meet and maintain cash collection metrics and goals.Handle second-level reimbursement issues, contracted and non-contracted denials for services before and after procedures.Work in a fast-paced environment with attention to detail, accountability, teamwork, and professional behavior.Qualifications
One or more years’ experience in a related position working in a medical office, hospital, outpatient surgery center, or related field.Knowledge of MS Office including Excel and Word.In lieu of on-the-job experience, new or recent college and university graduates with an Associate’s Degree or Bachelor’s Degree will be considered.Preferred Qualifications
High school diploma, GED, related certificate/diploma of related training, or Associate’s Degree or Bachelor’s Degree.Two or more years’ experience specifically in medical insurance collections, billing, accounts receivable, A/R, collecting payments, collecting reimbursements.Experience with Medical Billing Software and Applications.Basic knowledge of medical terminology and health insurance billing.Strong communication skills, both verbally and in writing.Customer service and patient service focus.Ability to multi-task, think critically, and solve problems.Ability to work in a fast-paced environment.
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OverviewToday, SCA Health has grown to 11,000 teammates who care for 1 million patients each year and support physician specialists holistically in many aspects of patient care. Together, our teammates create value in specialty care by aligning physicians, health plans, and health systems around a common goal: delivering on the quadruple aim of high-quality outcomes and a better experience for patients and providers, all at a lower total cost of care.As part of Optum, we participate in an integrated care delivery system that enables us to support our partners as they navigate a complex healthcare environment. Only SCA Health has a dynamic group of physician-driven, specialty care businesses that allow us to customize solutions, no matter the need or challenge:We connect patients to physicians in new and differentiated ways as part of Optum and with our new Specialty Management Solutions business.We have pioneered a physician-led, multi-site model of practice solutions that restores physician agency by aligning incentives to support growth and transition to value-based care.We lead the industry in value-based payment solutions through our Global 1 bundled payment convener, that provides easy predictable billing to patients.We help physicians address everything beyond surgical procedures, including anesthesia and ancillary service lines.The new SCA Health represents who we are today and where we are going-and the growing career opportunities for YOU.Responsibilities
Work in the Accounts Receivable, or A/R department, within our regional business office.Thorough and timely patient account follow-up to ensure accurate accounts receivable reporting.Follow up with insurance companies and/or third-party payers to ensure accurate and timely payments.Collect revenue for surgical services performed.Focus on collecting payments from insurance companies rather than self-payers/individuals.Collaborate with payer provider relations representatives.Contact insurance companies by email and/or phone to collect payments.Handle contracted and non-contracted; HMO, PPO, EPO, POS, Worker’s Com., self-pay, and third-party reimbursement issues.Work on denials and corrected claims, credit balance management, patient balance resolution, and non-patient (insurance) resolution.Ensure accurate payments by primary and secondary payers and/or self-pay patients.Meet and maintain cash collection metrics and goals.Handle second-level reimbursement issues, contracted and non-contracted denials for services before and after procedures.Work in a fast-paced environment with attention to detail, accountability, teamwork, and professional behavior.Qualifications
One or more years’ experience in a related position working in a medical office, hospital, outpatient surgery center, or related field.Knowledge of MS Office including Excel and Word.In lieu of on-the-job experience, new or recent college and university graduates with an Associate’s Degree or Bachelor’s Degree will be considered.Preferred Qualifications
High school diploma, GED, related certificate/diploma of related training, or Associate’s Degree or Bachelor’s Degree.Two or more years’ experience specifically in medical insurance collections, billing, accounts receivable, A/R, collecting payments, collecting reimbursements.Experience with Medical Billing Software and Applications.Basic knowledge of medical terminology and health insurance billing.Strong communication skills, both verbally and in writing.Customer service and patient service focus.Ability to multi-task, think critically, and solve problems.Ability to work in a fast-paced environment.
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