Self Pay Specialist

Ventra Health Global Services Inc.; Mabalacat; On-site; PHP 167,000 - 335,000; Full time

Job summary

Ventra Health Global Services Inc. is seeking a Self Pay Specialist to manage outbound collections and respond to patient inquiries. You will discuss insurance coverages, benefits, and payment plan options, aiming for timely account resolutions.

The role emphasizes exceptional customer service, accurate encounter documentation, and collaboration with various internal teams to resolve billing obstacles and denials.

Qualifications

• Experience in outbound collections or patient account follow-up is preferred.
• Strong communication skills with the ability to explain insurance benefits clearly.
• Ability to summarize encounters and action steps for account resolution.

Responsibilities

• Drive guarantor collections through outbound calls.
• Provide exceptional customer service during patient contacts by phone or other channels.
• Troubleshoot billing inquiries and explain insurance coverages and action steps.
• Ensure proper system documentation of encounters and resolution steps.
• Collaborate with internal departments to research denials, obstructions, or refunds.
• Perform special projects and other duties as assigned.

Skills

Outbound collections

Customer service

Account resolution

Call handling

Job description

The Self Pay Specialist role will be responsible for placing outbound calls to collect healthcare account balances due from guarantors. In this role the Specialist will also be responsible for answering a variety of incoming calls, Outbound and incoming calls will be tied to patient accounts and will require taking resolution steps that may include discussion of insurance coverages, explanations of insurance benefits, and payment plan arrangements.

• Drive guarantor collections

• Provide exceptional customer service while using account resolution skills when engaged with all patients who contact Ventra by telephone or other means of communication

• Troubleshoot billing inquiries, explain insurance benefit coverages, and articulate course of action steps and likely resolution timeframes.

• Ensure proper system documentation to accurately and thoroughly summarize encounters with callers and action steps taken for account resolution

• Collaborate with other internal departments to research insurance denials, billing obstacles, missing payments, payment refunds, or attorney requests.

• Perform special projects and other duties as assigned.