Associate Patient Call Representative - OPA MSO

SCA Health • UNAVAILABLE, UNAVAILABLE

2d

About The Position

The Associate Patient Call Representative assists patients primarily through inbound and outbound calls, responding to inquiries and receiving or collecting payments. The representative resolves issues during the initial interaction whenever possible, or escalates and follows up when additional research is needed. Responsibilities also include insurance verification, account review, patient estimates, documentation, payment research, and determining whether coding review is needed.

Requirements

• High school diploma or GED required.

Nice To Haves

• Strong customer service experience.
• Accounts receivable (A/R), billing, insurance verification, or customer service experience.
• Healthcare experience.
• Bilingual ability.

Responsibilities

• Take inbound calls from patients and make outbound calls to patients.
• Resolve patient inquiries during one call whenever possible and promptly follow up on inquiries requiring escalation or additional research.
• Follow up on patient voicemails within 24 hours.
• Educate patients on understanding 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 accounts and determine whether adjustments or refunds are required.
• Verify insurance and provide patient estimates.
• Verify and update patient demographic information.
• Research and locate missing payments.
• Review clinical information to determine whether a coding review is required.

Benefits

• Medical coverage
• Dental coverage
• Vision coverage
• 401(k) plan with company match
• Paid time off
• Life insurance
• Disability insurance

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED