Self-Pay Medical Biller (Fully Remote)

V3 Recruiters; Houston (TX); On-site; USD 55,000 - 75,000; Full time

Job summary

V3 Recruiters is seeking an experienced Inpatient Self-Pay Collections Specialist in Houston to strengthen our healthcare finance team. You will focus on optimizing the inpatient self-pay portfolio and ensuring timely, accurate follow-up on outstanding accounts.

You will analyze payer contracts, resolve reimbursement issues, and work with other departments to determine valid refunds while maintaining strict compliance with healthcare regulations and organizational policies.

Qualifications

• 3+ years of experience in inpatient self-pay collections.
• Strong understanding of payer contracts and reimbursement policies.
• Ability to decipher reimbursement issues and identify contractual allowances.
• Experience with refunds, patient payments and related processes.

Responsibilities

• Oversee inpatient self-pay collections process with timely follow-up on outstanding accounts.
• Analyze payer contracts to identify discrepancies and ensure compliance with policies.
• Investigate and resolve reimbursement issues, including contractual allowance variables and overpayments.
• Collaborate with internal teams to determine valid refunds and improve collection processes.

Skills

Inpatient self-pay collections

Payer contracts analysis

Refund determination

Regulatory compliance

Job description

This role focuses on managing inpatient self-pay collections within a dynamic healthcare environment. The ideal candidate will work closely with various departments to analyze payer contracts and resolve reimbursement issues. You'll play a crucial role in determining valid refunds and ensuring compliance with regulations, all while contributing to the financial health of the organization.

Key Responsibilities:

• Manage and oversee the inpatient self-pay collections process, ensuring timely and accurate follow-up on outstanding accounts.
• Analyze payer contracts to identify discrepancies and ensure compliance with reimbursement policies.
• Investigate and resolve reimbursement issues, including contractual allowance variables and overpayments.
• Collaborate with internal teams to determine valid refunds and improve collection processes.

Required Qualifications:

• A minimum of 3 years of experience in inpatient, self-pay collections is required.
• Proven background in collections with a strong understanding of payer contracts.
• Demonstrated ability to decipher reimbursement issues effectively.
• Knowledge of contractual allowance variables, overpayments, and patient payments.

Additional Details:

• Location: Houston, TX 77079

Join a competitive team where you can leverage your collections expertise to make a significant impact in a challenging environment. This opportunity offers a rewarding pay range and the chance to grow your skills in a vital area of healthcare finance.
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