Patient Care & Billing Specialist

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

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