Associate Patient Call Representative - OPA MSO

SCA Health; United States; On-site; USD 32,000 - 34,000; Full time

Benefits offered by this job

Benefits package (medical, dental, Vis

Job summary

SCA Health, part of Optum, seeks a Patient Call Representative to handle inbound and outbound calls, collect payments, and resolve issues with patients and insurers. You’ll educate patients on EOBs, verify coverage, and ensure accurate account updates, contributing to high-quality, patient-centered care across a large network.

The role emphasizes service excellence, accuracy, and timely follow-up in a fast-paced ambulatory setting, with a focus on meeting defined performance metrics and

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

Responsibilities

• Take inbound calls from patients and make outbound calls to patients
• Provide one call resolution to patient inquiries whenever possible and perform timely follow up
• Assist with 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, and update demographics

Skills

Customer service

AR / Billing

Insurance verification

Healthcare experience

Bilingual

Education

High school diploma or GED

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 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.