Associate Patient Call Representative - OPA MSO

Overview

At SCA Health, we believe health care is about people – the patients we serve, the physicians we support and the teammates who push us forward. Behind every successful facility, procedure or innovation is a team of 15,000+ professionals working together, learning from each other and living out the mission, vision and values that define our organization.

As part of Optum, SCA Health is redefining specialty care by developing more accessible, patient-centered practice solutions for a network of more than 370 ambulatory surgical centers, over 400 specialty physician practice clinics and numerous labs and surgical hospitals. Our work spans a broad spectrum of services, all designed to support physicians, health systems and employers in delivering efficient, value-based care to patients without compromising quality or autonomy.

What sets SCA Health apart isn’t just what we do, it’s how we do it. Each decision we make is rooted in seven core values:

Clinical quality

Integrity

Service excellence

Teamwork

Accountability

Continuous improvement

Inclusion

Our values aren’t empty words – they inform our attitudes, actions and culture. At SCA Health, your work directly impacts patients, physicians and communities. Here, you’ll find opportunities to build your career alongside a team that values your expertise, invests in your success, and shares a common mission to care for patients, serve physicians and improve health care in America.

At SCA Health, we offer a comprehensive benefits package to support your health, well-being, and financial future. Our offerings include medical, dental, and vision coverage, 401k plan with company match, paid time off, life and disability insurance, and more. Please visit, to learn more about our benefits.

Your ideas should inspire change. If you join our team, they will.

Responsibilities

The Patient Call Representative interfaces with patients primarily via inbound and outbound calls in order to assist them with inquiries the patient may have. The reps receive and/or collect payments and resolve their issue either through a one call interaction or by escalation and follow up.

Take inbound calls from patients and make outbound calls to patients

Provide one call resolution to patient inquires whenever possible and perform timely follow up

on inquiries requiring escalation or additional research

Follow up on all patient voicemails within 24 hours

Provide patient education regarding how to understand their Explanation of Benefits (EOB)

Take payments from patients

Provide requested documentation and records

Consistently achieve defined metrics

Read and understand contracts with Insurance companies

Review and determine if an adjustment is required on an account

Review and determine if a refund is required on an account

Verify insurance

Provide patient estimates

Verify and update demographic information

Research and locate missing payments

Review clinical information to determine if a coding review is required

Qualifications

High school diploma or GED required

Strong customer service experience preferred

A/R, billing, insurance verification or customer service experience preferred

Healthcare experience preferred

Bilingual preferred

USD $23.00/Hr. USD $25.00/Hr.

Originally posted on Himalayas