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Customer Service- Insurance Billing/Self Pay

πŸ•’ yesterday
πŸ“ πŸ‡ΊπŸ‡Έ Charlotte - Remote🎹 Mid-levelπŸ›Ÿ Customer Support SpecialistπŸ“’ πŸ‡ͺπŸ‡Έ Spanish RequiredπŸ“’ πŸ‡¬πŸ‡§ English RequiredπŸ’Ό Full-Time
Healthcare Customer ServiceSelf-pay Medical BillingInsurance EligibilityInsurance Billing Priority
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πŸ“œ Description

  • Respond to patient inquiries about self-pay and out-of-pocket medical balances.
  • Resolve financial accounts using approved guidelines and meet speed and accuracy metrics.
  • Apply payer contracts, insurance eligibility requirements, and billing priority rules.
  • Review claim denials, rejections, and underpayments.
  • Share issues and process improvement suggestions with management.
  • Follow federal and state requirements, including HIPAA, PCI, and PII/PHI security rules.

πŸ› οΈ Requirements

  • High School diploma or GED required; College preferred.
  • Hospital or Healthcare (US) knowledge/experience preferred.
  • Contact or Call Center experience preferred.
  • 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.
  • SMS Invision, I-series, Meditech, Epic experience a plus.
  • Microsoft Office experience required.
Full job description

Company Description

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.

    Job Description

    • Hourly wage
      • $17.50 English
      • $18.50 BilingualΒ  (Spanish/English)
    • Department is open 9am-9pm EST
    • 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.

    Qualifications

    • High School diploma or GED required; College preferred.
    • Hospital or Healthcare (US) knowledge/experience preferred.
    • Contact or Call Center experience preferred.
    • 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.
    • SMS Invision, I-series, Meditech, Epic experience a plus.
    • Microsoft Office experience required.

    Additional Information

    This role is open to those eligible to work in the USA.Β 

    EEOC and Veteran Documentation
    During employment, employees are treated without regard to race, color, religion, sex, national origin, age, marital or veteran status, medical condition or handicap, or any other legally protected status.
    At times, government agencies require periodic reports from employers on the sex, ethnicity, handicap, veteran and other protected status of employees. The purpose of this Administrative EEO Record is for statistical analysis only and is used to comply with government record keeping, reporting, and other legal requirements. Periodic reports are made to the government on the following information. The completion of the Administrative EEO record is optional. If you choose to volunteer the requested information, please note that allΒ 
    Administrative EEO Records are kept in a Confidential File and are not part of your Application for Employment or Personnel file.
    Please note: YOUR COOPERATION IS VOLUNTARY. INCLUSION OR EXCLUSION OF ANY DATA WILL NOT AFFECT ANY EMPLOYMENT DECISION.

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