Patient Call Representative

SCA Health • UNAVAILABLE, UNAVAILABLE

3d • Remote

About The Position

Patient Call Representatives assist patients primarily through inbound and outbound calls. They respond to inquiries, collect or receive payments, and resolve issues during a single interaction when possible, or escalate and follow up when additional research is needed. The role includes patient account and insurance-related work, such as verifying insurance, providing estimates, reviewing potential adjustments or refunds, researching missing payments, and determining whether clinical information requires a coding review.

This is a remote position after onsite training. Candidates must live within a commutable distance of Sharonville, Ohio, for up to three weeks of onsite training. The schedule is Monday through Friday, 8:30 a.m. to 5:00 p.m. Eastern Time.

Requirements

• High school diploma or GED.
• At least 1 year of experience in a medical office, healthcare customer service, or call center role.
• Ability to read, analyze, and interpret financial reports and information in patient accounts.
• Ability to write routine reports and correspondence.
• Proficiency with Microsoft Office Suite, including Word and Outlook.
• Excel skills, including the ability to sort and filter data.
• Ability to type at least 45 words per minute.
• Excellent phone and customer service skills.
• Strong organization, attention to detail, problem-solving, and multitasking skills.
• Ability to attend onsite training for up to three weeks in Sharonville, Ohio.

Nice To Haves

• Revenue cycle experience.

Responsibilities

• Take inbound calls from patients and make outbound calls to patients.
• Resolve patient inquiries during the initial call whenever possible, and promptly follow up on inquiries requiring escalation or additional research.
• Follow up on all patient voicemails within 24 hours.
• Educate patients on how to understand their Explanation of Benefits (EOB).
• Receive 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.
• 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