Bilingual Spanish Customer Service- Insurance Billing/Self Pay

Sutherland; Charlotte (NC); On-site; USD 50,145,000 - 53,010,000; Full time

Job summary

Sutherland in Charlotte, NC, seeks a Healthcare Self-Pay Customer Service Representative to serve as the primary contact for self-pay balances and to deliver high-quality customer service. You will resolve accounts using approved guidelines, adhere to speed and accuracy metrics, and maintain HIPAA/PCI/PII compliance while collaborating with management for process improvements.

The role requires strong communication, multitasking ability, and familiarity with healthcare billing systems and

Qualifications

• High School diploma or GED required; College preferred.
• Hospital or Healthcare 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 speed 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.

Responsibilities

• Serve as the primary contact for self-pay patient inquiries.
• Resolve financial accounts using approved guidelines.
• Meet speed and accuracy metrics.
• Understand payer contracts and insurance eligibility.
• Review claim denials, rejections and underpayments.
• Suggest process improvements to management.
• Comply with HIPAA, PCI and PII/PHI regulations.
• Open 9am-9pm EST shift coverage.

Skills

Verbal communication

Written communication

Multitasking

Typing 60 wpm

Microsoft Office

Healthcare knowledge

EMR systems familiarity

Education

High School diploma or GED

College preferred

Tools

SMS Invision

I-series

Meditech

Epic

Job 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 Bilingual (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.

EEOC and Veteran Documentation

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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 all

Administrative EEO Records are kept in a Confidential File and are not part of your Application for Employment or Personnel file.

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