120 Sca Health Insurance Verification Representative Jobs Hiring Near You

OrthoAlliance is a nationally leading patient-centered, physician-led management services organization that helps orthopedic practices grow and thrive in an evolving healthcare landscape. Its partner practices include more than 200 physicians across the full spectrum of orthopedic and sports medicine specialties. As part of SCA Health, OrthoAlliance is backed by a national organization that serves more than two million patients each year across hundreds of surgical facilities and physician practice clinics nationwide. Together, OrthoAlliance and SCA Health are committed to delivering quality-driven, value-based care while supporting physicians and improving the patient experience.

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. 

Position Summary:

          Responsible for all check in and check out functions of medical front desk on a rotating basis, answering phones, scheduling appointments, physician messages, scheduling testing, pre-certification and medical records management.

Position Responsibilities/Standards:

General

• Attend department, clinic or company meetings as required
• Demonstrate sound judgment by taking appropriate actions regarding questionable findings or concerns
• Consistently work in a positive and cooperative manner with fellow staff members.
• Consistently demonstrate ability to respond to changing situations in a flexible manner in order to meet current needs, such as reprioritizing work as necessary.
• Attend required annual in-service programs.
• Demonstrate knowledge and understanding of all company policies and procedures. Adheres to established facility safety requirements and procedures to ensure a safe working environment. Identifies potentially unsafe situations and notifies supervisor.

Specific Duties

• Meet and greet patients promptly, in a professional and courteous manner.  Check in the patients for the appointments using both Nextgen and Phreesia. 
• Obtain patient information during office hours.
• Provide patients with required paperwork – H&P, Financial Policy, Patient Information Sheet, FROI for Worker’s Compensation patients.
• Obtain copies of patients insurance cards, MCO identification cards
• Verify patient insurance coverage is current and correct at each visit.  Including verifying eligibility and insurance in-network
• Collect co-pays, co-insurance and self pay amounts at time of service.
• Be able to review the outstanding balances and explain to the patients the explanation of their balances
• Prep charts based on physician requirements for the appointments.  Including medical charts, lab results, follow up MRI reports, Intake medications, last office notes.
• Collect BWC and FMLA paperwork from the patients, collect the fees and ensure the paperwork gets to the right person based on physician.
• Review patient label and chart contents for completeness and accuracy.
• Accurately Scan insurance cards including front and back
• Input patient information and register patient as needed.
• Schedule appointments (new, follow-up, reschedule) per physician protocol.
• Obtain referrals-check Carriers on line.
• May need to call for testing reports from outside venders needed for the appointments
• Schedule appointments to other specialists as needed.
• Handle all calls in a professional manner and direct to the proper individual.
• Communication with physicians and clinical support staff.
• All patient information will be entered into the system by the end of the day at a 90% or higher accuracy rate.
• Make every effort to accommodate patient, according to physician protocol, when scheduling appointments.
• Reconcile all charts to kept appointments and return at the end of day to appropriate charge entry staff
• Scanning documents

Additional Duties

• • Travel to other Beacon locations as necessary.
  • Confirm and/or reschedule appointments when needed.
  • Filing as needed – within 24 hours
  • Saturday rotation.

Education/Experience Required:

• Must have a high school diploma or equivalent.
• Must be friendly, courteous and have good communication skills when greeting patients.

Education/Experience Required:

• Must have a high school diploma or equivalent.
• Must be friendly, courteous and have good communication skills when greeting patients.