Call Center Representative - South Bend Orthopedics

Surgical Care Affiliates LLC

Mishawaka, IN

JOB DETAILS
SALARY
SKILLS
Athletics, Call Centers, Clinical Information, Clinical Laboratory, Code Reviews, Continuous Improvement, Customer Support/Service, Demographics, Detail Oriented, Documentation, Financial Analysis, Financial Reporting, Healthcare, Healthcare Customer Service, Healthcare Quality, Hospital, Insurance, Insurance Documentation, Medical Imaging, Medical Office, Medical Records, Microsoft Office, Microsoft Outlook, Microsoft Word, Multitasking, Occupational Therapy, Organizational Skills, Orthopedic Surgery, Orthopedics, Pain Management, Patient Care, Patient Education, Patient Follow-up, Physical Therapy, Problem Solving Skills, Reporting Skills, Sports Medicine, Team Player, Time Management, Writing Skills
LOCATION
Mishawaka, IN
POSTED
2 days ago

Overview

South Bend Orthopaedics (SBO) provides specialized care for all musculoskeletal surgery and orthopedic rehabilitation patients, as well as those suffering from work-related and sports injuries. Founded on the principle of providing excellence in orthopedics, SBO has been serving the needs of the northern half of Indiana and southern Michigan since 1947 and functions as the Orthopaedic Surgeons for The University of Notre Dame Athletics Department since 1949. Services include joint replacement, sports medicine, upper and lower extremity surgery, pain management, diagnostic imaging, physical and occupational therapy. With 20 physicians and surgeons, plus multiple advanced practitioners across several locations, SBO is proud to be the trusted orthopedic expert for South Bend and the surrounding region - and a proud partner practice of OrthoAlliance.

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

  • 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

  • H/S Diploma or equivalent
  • A minimum of 1 year of experience in a medical office, customer service or call center role
  • Experience with revenue cycle is helpful and preferred
  • Ability to read, analyze and interpret financial reports, and information in patient accounts
  • Ability to write routine reports and correspondence
  • Microsoft Office Suite including Word and Outlook.
  • Excel including the ability to sort and filter data.
  • Must be able to type a minimum of 45 wpm.
  • Must have excellent phone and customer service skills
  • Must be very organized, be detail oriented, solve problems and multitask

USD $17.00/Hr. USD $22.78/Hr.

About the Company

S

Surgical Care Affiliates LLC

Surgical Care Affiliates (SCA) partners with leading physicians, hospitals and health systems to develop and implement surgical services strategies across the country. With approximately 5,000 teammates, SCA operates more than 185 surgical facilities, including ambulatory surgery centers, surgical hospitals, and hospital surgery departments, in partnership with approximately 2,000 physicians and in affiliation with 45+ health systems.

At SCA, we put Clinical First. Our mission is to care for our patients, serve our physicians and improve healthcare in America by offering clinical systems, service line growth strategies, benchmarking processes, and efficiency programs that create measurable advantage for surgical facilities—clinically, operationally and financially.

An industry leader, SCA recently created industry-wide clinical outcomes reporting procedures, using metrics endorsed by the National Quality Forum. All SCA facilities pursue accreditation through The Joint Commission (TJC), the American Association of Ambulatory Surgery Centers (AAASC) or the Accreditation Association for Ambulatory Health Care (AAAHC).

Our facilities focus on short-term care and primarily provide non-emergency surgical procedures in many specialties, including orthopaedics, ophthalmology, gastroenterology, pain management, and otolaryngology, among others. Our facilities provide physicians with the logistics and support staff necessary to perform these procedures.

SCA is deeply committed to our core values of clinical quality, integrity, service excellence, teamwork, accountability and continuous improvement.

COMPANY SIZE
5,000 to 9,999 employees
INDUSTRY
Healthcare Services
FOUNDED
2007
WEBSITE
http://scasurgery.com/