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Self Pay Collection/Insurance Verification Specialist
AT&C Revenue Services. Contact patients regarding self-pay balances and negotiate payment arrangements .
About the role
Key responsibilities & impact- Contact patients regarding self-pay balances and negotiate payment arrangements
- Follow up on unpaid and past-due accounts and prepare a monthly third-party collections list
- Answer patient inquiries about accounts, balances, billing statements, payment options, and financial assistance
- Educate patients about co-pays, deductibles, account balances, and financial responsibilities
- Apply patient payments accurately to appropriate accounts
- Document collection efforts, payment arrangements, patient communications, insurance details, authorization numbers, and verification results
- Contact insurance companies to clarify benefits, resolve discrepancies, and verify coverage and eligibility
- Confirm co-pays, deductibles, and out-of-pocket costs for procedures and treatments
- Obtain prior authorizations, precertification numbers, and referrals when required
- Flag coverage issues before services to reduce claim denials
- Collaborate with billing, coding, scheduling, and clinical teams to ensure accurate, compliant, and authorized services
- Verify commercial, workers’ compensation, accident, and state-program coverage
- Determine patient responsibility and coverage qualification
- Monitor aged accounts and research self-pay discrepancies, billing errors, and misapplied payments
- Review payer contracts to calculate patient responsibility
- Maintain current facility insurance contracts and payment schedules
- Provide financial counseling regarding payment options and assistance programs
- Follow the Self-Pay Process Policy and Procedure
Requirements
What you’ll need- High school diploma or GED
- 2+ years in healthcare revenue cycle, medical, ASC, or related field
- Experience with patient accounting systems such as Advantx, Vision, HST, SIS Complete, or MoD Med is a plus
- Knowledge of payer contracts, EOBs, and HIPAA regulations
- Understanding of the full revenue cycle
- Knowledge of Medicare, Medicaid, PPO, HMO, deductibles, co-pays, and coinsurance
- Ability to identify discrepancies and resolve coverage issues quickly
- Strong organizational and time management skills
- Attention to detail in identifying and resolving account discrepancies
- Excellent communication and customer service skills
- Proficiency with insurance portals, EHRs, payer contracts, and billing software
- Understanding of HIPAA and applicable state and federal regulations regarding collections and patient confidentiality
- Reliable internet and a distraction-free workspace
- Ability to work standard hours of 8 a.m.–5 p.m. CST
Benefits
Comp & perks- Medical, dental, and vision insurance
- 401(k) match after one year
- Vacation, sick leave, and paid holidays
- Training and career advancement opportunities
- Fully remote work from home
- Secure internet and direct phone line