Patient Collections Specialist: Self-Pay & Billing

Carle-Health; Champaign (IL); On-site; USD 24,000 - 39,000; Full time

Job summary

Carle Health is seeking a Self Pay Collector 1 to manage hospital and professional accounts receivable, ensuring HIPAA compliance and accurate record-keeping. You will call patients, explain self-pay processes, set up payment plans, and assist with financial aid options while delivering empathetic customer service.

The role requires at least a high school diploma and about one year of healthcare AR experience, with proficiency in Microsoft Office and receivables systems.

Qualifications

• One year experience in health care required or a high performer as an Accounts Receivable Representative 1.
• Proficient with Word, Excel, Outlook and Receivables Management systems.

Responsibilities

• Contact patients via phone, email, or mail to collect outstanding balances.
• Works account work queues to perform collection activities, investigate balances, request money be moved, ensure statement delivery and send inquiries on outstanding self-pay receivables.
• Initiate and follow up on patient contact via phone, email, and written correspondence to resolve outstanding balances. Resolves patient underpayments, no payments, overpayments and undistributed payments for proper allocation.
• Set up and monitor payment plans in accordance with established guidelines.
• Provides financial counseling and assistance with the Carle Financial Assistance program and other discount opportunities with patients when applicable.
• Identifies and resolves billing and insurance errors to facilitate accurate and timely billing.
• Maintain confidentiality and comply with HIPAA regulations.
• Provide excellent customer service, with the ability to handle sensitive financial conversations with empathy and professionalism.
• Recommend an adjustment when applicable or recommend a refund for overpayments to insurance carriers or patients, providing the appropriate documentation.
• Identity problem accounts and elevate as appropriate.
• Inform patients explicitly of their obligation to pay for services and notate accounts accurately. Accurately updates demographic, insurance, and billing information for patients.
• Identifies and reports account corrections needed for guarantor number changes (GNC's) double registrations, and other account build issues in the practice management system.
• Responsible for meeting and exceeding departmental productivity quality assurance standards. Performs other duties as assigned.

Skills

Customer service

Empathy

Communication

Attention to detail

Education

Highschool Diploma or GED

Tools

Microsoft Office

Job description

Carle Health is seeking a Self Pay Collector 1 to manage hospital and professional accounts receivable, ensuring HIPAA compliance and accurate record-keeping. You will call patients, explain self-pay processes, set up payment plans, and assist with financial aid options while delivering empathetic customer service.

The role requires at least a high school diploma and about one year of healthcare AR experience, with proficiency in Microsoft Office and receivables systems.