Medical, Clinical & VeterinaryClinical Support & Patient Administration
About the job
Requirements
A high school diploma or GED is required.
Strong analytical and problem-solving skills are required.
Strong desktop PC skills in Microsoft Excel are required.
One to two years of medical insurance denial management experience is required.
The role requires the ability to work autonomously and as a team member, with little supervision once a goal is assigned.
The role requires detail orientation and organization, including the ability to track deadlines and meet goals.
The role requires verbal and written communication skills.
The role requires the ability to operate a computer keyboard, telephone, copier, and other office equipment.
The role requires sitting for extended periods and may involve stooping, bending, and reaching for files and supplies.
The role requires continuous oral and written communication, listening, and computer use, with occasional bending, kneeling, lifting, pulling, and pushing up to 10 pounds.
The role requires maintaining confidentiality of documents and information processed.
Responsibilities
Collaborate with the Patient Contact Center to update patient demographics and respond to inquiries about patient responsibility and collections.
Identify trends and patterns in patient collections data to support continuous improvement.
Act as the primary contact for external vendors handling patient responsibility and medical claims liability.
Communicate with the patient contact center team to address queries and provide support.
Maintain accurate and current documentation of patient collections activities.
Maintain organized records of interactions with external vendors and other relevant stakeholders.
Stay informed about regulatory changes related to patient collections and insurance.
Update patient demographics; generate itemized statements; and copy, mail, fax, and upload documentation as needed.
Sort and mail paper claims to insurance carriers.
Collate single and multiple primary claims that do not require medical records for daily mailing.
Print, upload, and fax information, and print explanations of benefits for secondary paper claims.
Maintain a high level of productivity and quality of work.
Keep management informed of successes and problems as they occur.
Follow company policies and procedures, the corporate compliance program, and applicable local, state, and federal laws.
At SCP Health, what you do matters
As part of the SCP Health team, you have an opportunity to make a difference. At our core, we work to bring hospitals and healers together in the pursuit of clinical effectiveness. With a portfolio of over 8 million patients, 7500 providers, 30 states, and 400 healthcare facilities, SCP Health is a leader in clinical practice management spanning the entire continuum of care, including emergency medicine, hospital medicine, wellness, telemedicine, intensive care, and ambulatory care.
Why you will love working here:
- Strong track record of providing excellent work/life balance.
- Comprehensive benefits package and competitive compensation.
- Commitment to fostering an inclusive culture of belonging and empowerment through our core values - collaboration, courage, agility, and respect.
Responsibilities:
Collaborate with the Patient Contact Center (PCC) to update patient demographics and address inquiries related to patient responsibility and collections.
Identify trends and patterns in patient collections data for continuous improvement.
Acts as the primary contact for external vendors dealing with patient responsibility and medical claims liability.
Maintain open communication channels with the patient contact center team to address queries and provide necessary support.
Ensure accurate and up-to-date documentation of patient collections activities.
Maintain organized records of interactions with external vendors and other relevant stakeholders.
Stay informed about changes in regulations related to patient collections and insurance.
Update patient demographics, generate itemized statements, copy, mail, fax, and upload documentation as needed.
Sort and mail all paper claims to insurance carrier. 
Collate single primary claims that do not require Medical Records for daily mailing.
Collate multiple primary claims that do not require Medical Records for daily mailing,
Print, upload, and fax information.
Print EOB for secondary paper claims. Monitor and maintain an elevated level of productivity and quality of work.
Keep management abreast of both successes and problems as they occur.
Knowledge, Skills, and Abilities:
Must be extremely detail oriented and organized, a self–starter capable of tracking deadlines and meeting goals.
Ability to work autonomously and as a team member, with little supervision required once a goal is assigned.
Excellent verbal and written communications skills.
May require sitting for extended periods; also stooping, bending, and reaching for files and supplies.
Requires manual dexterity sufficient to operate a computer keyboard, answer a telephone, run a copier and other office equipment, as necessary.
EDUCATION (Required and/or Preferred):
High school diploma or GED
Strong analytical and problem-solving skills.
Strong desktop PC skills in MS Excel
Ability to work well in a team environment.
Professional attitude and demeanor
WORK EXPERIENCE/QUALIFICATIONS:
1-2 years Medical Insurance Denial Management
CERTIFICATES AND LICENSES:
NA
WORK ENVIRONMENT AND PHYSICAL DEMANDS:
Professional setting
Continuous sitting
Continuous oral & written communication and listening skills
Continuous computer use
Occasional bending, kneeling, lifting, pulling & pushing up to 10 pounds.
Requires an elevated level of mental awareness.
PRIMARY LOCATION:
Dallas, TX
CONFIDENTIALITY:
The daily activities of this position will be held in the strictest confidence whether it is regarding a person, individual and/or a strategic initiative. Confidentiality must be maintained on all documents and/or information processed.
COMPLIANCE:
All Schumacher Clinical Partners employees will abide by all policies and procedures including the Schumacher Clinical Partners Corporate Compliance Program and will adhere to all applicable local, state, and federal laws.
DISCLAIMER:
The above statements reflect the general duties considered necessary to describe the essential functions of the job as identified and shall not be considered as a detailed description of all work requirements which may be inherent in the position. They may be subject to change at any time due to reasonable accommodation or other reasons.
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Pay Range:
0.00 - 0.00 USD per hour
This range represents the anticipated base salary for this role. Actual compensation will be determined based on experience, qualifications, and internal equity considerations.
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We offer a comprehensive benefits package designed to support your health, financial well-being, and work-life balance, including medical dental, vision insurance, a 401(k) plan with a company match, paid time off and holidays, professional development support, and employee wellness resources.