Associate Billing Representative Clerk

Denton Surgery Center, LLC; Indianapolis, Northern (IN, KY); Hybrid; USD 30,000 - 33,000; Full time

Job summary

SCA Health, part of Optum, is seeking an Associate Billing Representative Clerk to enter charges, submit claims, and manage denials within the revenue cycle team. The role supports faster reimbursement and accurate coding across payer types in a busy ambulatory setting.

The position schedule is Monday to Friday, with standard daytime hours. Requires 1-year billing experience and a billing-focused education path; proficient MS Office skills are expected.

Qualifications

• High school diploma or GED is required.
• Minimum one-year medical billing experience.
• Thorough understanding of medical terminology and medical coding.
• Working knowledge of MS Office including Word, Outlook, and Excel.

Responsibilities

• Enter charges for coded patient visits into the system.
• Submit claims to insurance companies and work with AR collections on rejections.
• Prepare and complete claims for commercial, third-party, government or self-payers.
• Follow up on pending claims and bring them to resolution.
• Review variance reports and identify trends.
• Achieve defined performance metrics.

Skills

Medical billing experience

Medical terminology & coding

MS Office proficiency

Education

Associate degree or higher in medical billing & coding or related field

Tools

MS Office (Word, Outlook, Excel)

Job description

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, https://careers.sca.health/why-sca, to learn more about our benefits.

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

Responsibilities

** The work schedule will be Monday - Friday with hours anywhere between 7:30am - 6pm EST / 6:30am - 5pm CST **

The Associate Billing Representative Clerk takes coded patient visits and enters the charges into the systems, submits the claim to the insurance company, and works on rejections they may receive with our A/R collections team. The medical biller position works in the revenue cycle department at our regional business office and works closely with our collections team.

• Pull information from the system and enter the charges, make any adjustments, utilize internal databases, optimize the codes and submit the claim electronically or by paper
• Prepares and completes claims for commercial insurance companies, third party organizations and/or government or self-payers
• Complete billing rejections and make corrections as needed
• Follow up on pending claims and work them to resolution
• Review the variance report and identify and report any trends found
• Consistently achieve defined metrics

Qualifications

Required:

• High school diploma or GED
• Minimum one-year medical billing experience
• Thorough understanding of medical terminology and medical coding
• Working knowledge of MS Office including Word, Outlook, and Excel

Preferred:

• Associate Degree, diploma, or certificate in medical billing & coding, healthcare management, or related program
• Two or more years of medical billing experience
• Prior experience with HST helpful but not required

USD $22.00/Hr. USD $24.00/Hr.