About The Position

The Healthcare Self-Pay Customer Service Representative serves as the primary point of contact for patients calling in regarding self-pay and out-of-pocket medical balances. This role focuses on delivering high-quality customer service, resolving financial accounts using approved guidelines, and strictly adhering to speed and accuracy metrics.

Requirements

  • High School diploma or GED required
  • Excellent verbal, written and communication skills required.
  • Ability to multitask and work under pressure.
  • Minimum typing skills 60 words per minute with the ability to talk and type
  • Minimum 3-5 years’ work-related experience.
  • Microsoft Office experience required.

Nice To Haves

  • College preferred.
  • Hospital or Healthcare (US) knowledge/experience preferred.
  • Contact or Call Center experience preferred.
  • SMS Invision, I-series, Meditech, Epic experience a plus.

Responsibilities

  • Understand payer contracts, rules and regulations.
  • Understanding of insurance eligibility requirements
  • Understanding of insurance billing priority
  • Review claim denials, rejections and underpayments.
  • Communicate issues and offer suggestions to Management for process improvements.
  • Understand and apply federal and state rules and regulations, including but not limited to HIPAA, PCI Compliance regulations, PII/PHI Security.
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