Collections Representative Clerk - St. Cloud Surgical Center

Today, 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 allows 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.

The Collections Representative will be responsible for thorough and timely patient account follow up to ensure accurate accounts receivable reporting, and to ensure payments by primary and secondary payers and/or self-pay patients are accurate.

• Responsible for daily generation of patient statements and for answering patient calls and correspondence while providing timely, accurate, professional responses and resolution.
• Gathers information to ensure accurate insurance verification and eligibility, contacting the physician office and/or the patient directly as needed
• Identifies potential concerns, communicates with the team and escalates for resolution as needed, working to avoid any patient or physician inconvenience of delay
• Works directly with patients, following applicable policies/procedures in the event a procedure is not payable
• Obtains authorizations from insurance companies/physician offices
• Calculates co-pay and estimated co-insurance amounts due from patients per the individual payer contract and plan as applicable
• Demonstrates familiarity with individual payer guidelines and the process of collecting payments/deductibles/co-pay/co-insurance

• Medical terminology, ICD-9 and CPT knowledge required
• Individual must have strong computer and data entry skills and a strong in depth contract comprehension
• Must be able to work within the team & independently, handle multiple tasks efficiently and maintain confidentiality
• Must be a teamplayer, communicate well and interact in a positive manner with patients, families, co-workers, supervisor and other facility teammates to ensure the overall success of our center
• Associates degree or equivalent from two-year college or technical school; OR three to five years of experience in a medical office, hospital, outpatient surgery center or related field preferred

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