Self Pay/Insurance Verification Specialist

Surgical Information Systems • Birmingham, AL

39d • Remote

About The Position

For over 29 years, Surgical Information Systems (SIS) has empowered surgical providers to Operate Smart by delivering innovative software and services that drive clinical, financial, and operational success. For ambulatory surgery centers (ASCs), SIS provides comprehensive software and services, including ASC management, electronic health records (EHRs), patient engagement capabilities, compliance technology, and revenue cycle management and transcription services, all built specifically for ASCs. For hospital perioperative teams, SIS offers an easy-to-use anesthesia information management system (AIMS). Serving over 2,700 surgical facilities, SIS is committed to delivering solutions that enable surgical providers to focus on what matters most: delivering exceptional patient care and outcomes. Recognized as the No. 1 ASC EHR vendor by Black Book for 10 consecutive years and honored with the Best in KLAS Award for ASC Solutions in 2025, 2023, and 2022, SIS remains the trusted choice for surgical providers seeking to enhance their performance. Discover how SIS can help you Operate Smart at sisfirst.com.

Requirements

• Healthcare billing experience required
• Experience in medical office insurance verification required
• 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
• 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

Nice To Haves

• 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 Billing Software System - AdvantX, Vision, SurgiSource a plus

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
• Obtain demographics/insurance information from Ambulatory Surgical Centers/Doctors office
• Patient registration (enter information into system)
• Verify insurance with appropriate payor(s)
• Enter all insurance information into system
• Enter patient notes if applicable
• If applicable, call patient and advise of financial responsibility
• Provide admitting clerk with up-front money to be collected
• Collect payments from patients at time of service or at notification of amount due
• Scanning

Benefits

• Benefit package including Medical, Vision, Dental, Short Term Disability, Long Term Disability, and Life Insurance
• Vacation/Sick time
• 401(k) retirement plan with company match
• Paid Holidays
• SIS Cares Day
• Fully Remote

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Ambulatory Health Care Services
• Education Level: No Education Listed
• Number of Employees: 501-1,000 employees