Remote - Medical Self Pay Specialist

SUMMARY:

The Self Pay Specialist is responsible for collection efforts on Self-Pay Accounts.  Will act as the billing office for designated Ambulatory Surgical Centers. Will handle the Accounts Receivable for Clients, generate statements, and contact patients for medical claim payment.

ESSENTIAL DUTIES/ RESPONSIBILITIES:

• Willing to learn software billing systems
• Generates Patient Statements, uploading to statement vendor daily
• Places Courtesy Calls to patients regarding outstanding balance(s)
• Initiates contact through online solutions; like Text Messaging, dialer, etc…
• Creates and Reports to client(s) Monthly Collections List for accounts that require review and approval to send to Collection Agency and/or written off to bad debt
• Researches and explains patient financial responsibility, according to Explanation of Benefits and Facilities Self Pay policy guidelines
• Handles all inbound calls from patients and clients regarding Self Pay Accounts Receivable
• Researches and Documents all patient contact (inbound or outbound) in clients software system, which includes clear and detailed description of action taken, next step and expected resolution date
• Monitors and resolves all Self Pay Accounts Receivable upon Self Pay entry or transfer date from Insurance; Follow up at least once every 30 days with more frequent follow up as necessary
• Credit card payments processed to center in a timely fashion
• Collaborates cross-functionally within the team, to accomplish adjustment requests, insurance research, etc…
• Other duties as assigned
• Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time

SPECIFIC KNOWLEDGE & SKILLS REQUIRED:

• Healthcare billing experience required
• Healthcare patient collections/customer service experience preferred
• Knowledge of CPT, HCPCS, ICD-9/10 codes is a plus
• Knowledge of how to read and understand an Explanation of Benefits is a plus
• Knowledge of computers and Windows-driven software, Microsoft Excel required
• Ability to solve problems and everyday tasks with critical thinking
• Excellent command of written and spoken English
• Knowledge of Billing Software System – AdvantX, Vision, SurgiSource a plus
• Cooperative work attitude toward and with co-employees, management, patients, outside contacts
• Ability to promote favorable company image with patients, insurance companies, and general public
• Must have a minimum of 40Mbps internet download speed to effectively run SIS Systems