Patient Call Representative - South Bend Orthopedics

Patient Call Representative

Founded in 1947, South Bend Orthopaedics (SBO), a proud partner of OrthoAlliance, provides specialized care for musculoskeletal surgery, orthopedic rehabilitation and the treatment of sports and work-related injuries. SBO has served northern Indiana and southwest Michigan for decades and has been 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, imaging and physical and occupational therapy. With 20 physicians and a team of advanced practitioners, SBO delivers comprehensive orthopedic care across multiple locations. As part of OrthoAlliance an organization within SCA Health SBO is connected to a broader network dedicated to advancing patient care and expanding access to quality-driven orthopedic services.

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, and 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.

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 $16.00/Hr. USD $25.25/Hr.