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Customer Service – Insurance Billing, Self Pay
Sutherland. Serve as the primary point of contact for patients calling about self-pay and out-of-pocket medical balances .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in patient financial account resolution, insurance eligibility requirements, and compliance with federal and state regulations, including HIPAA and PCI. Strong communication skills and the ability to multitask in a fast-paced healthcare environment are essential.
Highest-signal resume keywords
Patient Financial Account ResolutionInsurance Eligibility RequirementsHIPAA ComplianceMicrosoft Office ExperienceCall Center Experience
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Typing Skills 60 Words Per MinuteInsurance Billing PriorityClaim Denial ReviewFinancial Account ResolutionPayer Contracts Understanding
Soft Skills
Excellent Verbal CommunicationExcellent Written CommunicationAbility To MultitaskWork Under Pressure
Tools & Technologies
SMS InvisionI-SeriesMeditechEpic
Industry Keywords
Healthcare KnowledgeSelf-Pay AccountsOut-Of-Pocket BalancesFederal RegulationsState RegulationsPCI CompliancePII/PHI Security
Tech Stack
Tools & technologiesInvision
About the role
Key responsibilities & impact- Serve as the primary point of contact for patients calling about self-pay and out-of-pocket medical balances
- Deliver high-quality customer service
- Resolve financial accounts using approved guidelines
- Adhere to speed and accuracy metrics
- Understand payer contracts, rules and regulations
- Apply insurance eligibility requirements and 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 HIPAA, PCI Compliance regulations, and PII/PHI Security
Requirements
What you’ll need- 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
- Eligible to work in the USA