Bilingual Spanish Customer Service- Insurance Billing/Self Pay

Sutherland; United States; On-site; USD 24,000 - 25,000; Full time

Job summary

Sutherland seeks a Healthcare Self-Pay Customer Service Representative to be the primary contact for patients with self-pay balances. You will deliver high-quality service, resolve accounts per guidelines, and meet speed/accuracy targets.

Requirements include a High School diploma or GED (college preferred), call center experience, 3–5 years’ experience, and proficiency with Microsoft Office. Healthcare knowledge and EEO compliance are noted in the posting.

Qualifications

• Excellent verbal, written and communication skills required.
• Hospital or Healthcare (US) knowledge/experience preferred.
• Contact or Call Center experience preferred.
• Understanding of insurance eligibility requirements
• Review claim denials, rejections and underpayments.
• Understand payer contracts, rules and regulations.
• Understanding of insurance billing priority
• Understand and apply federal and state rules and regulations, including HIPAA, PCI Compliance regulations, PII/PHI Security.

Responsibilities

• Serve as the primary point of contact for patients calling in regarding self-pay balances.
• Resolve financial accounts using approved guidelines and maintain speed and accuracy metrics.
• Communicate issues and offer suggestions to Management for process improvements.

Skills

Verbal communication

Written communication

Multitasking under pressure

Typing 60 wpm

Customer service

Insurance eligibility knowledge

Call center experience

Payer contracts rules

HIPAA compliance

PCI compliance

PHI/PII security

Healthcare knowledge (US)

Microsoft Office

Education

High School diploma or GED

College preferred

Tools

SMS Invision

I-series

Meditech

Epic

Microsoft Office

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.

• 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.

• 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.

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

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 all
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.