Customer Service- Insurance Billing/Self Pay

Sutherland; North Carolina; On-site; USD 36,000 - 39,000; Full time

Job summary

Sutherland in the United States seeks a Healthcare Self-Pay Customer Service Representative to be the primary contact for patients calling about self-pay balances. You will deliver high-quality service, resolve accounts using approved guidelines, and maintain speed and accuracy in line with metrics.

Responsibilities include understanding payer contracts, eligibility rules, and billing priorities, reviewing denials, and suggesting process improvements.

Qualifications

• High School diploma or GED required.
• College preferred.
• 3–5 years’ work-related experience.
• Call center experience preferred.
• Excellent verbal, written and communication skills required.

Responsibilities

• Serve as the primary point of contact for patients calling about self-pay balances.
• Resolve financial accounts using approved guidelines.
• Review denials, rejections and underpayments.
• Understand payer contracts, rules and regulations applicable to self-pay.
• Communicate issues and offer suggestions for process improvements.

Skills

Communication skills

Typing 60 wpm

Multitasking

Healthcare knowledge

Call center experience

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
• 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.

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