- United States
- 0–2 years
The Revenue Cycle Specialist - Self Pay is responsible for performing collection follow-up on outstanding insurance balances, identifying claim issues, and ensuring timely resolution in compliance with government and managed care contract terms.
Responsibilities
- Performs follow-up on outstanding insurance balances within the required timeframe, obtaining payment confirmation or required documentation.
- Documents all actions taken on accounts within the appropriate system, ensuring a clear and traceable resolution process.
- Makes the required number of outbound calls to insurance payers while maintaining professional and courteous communication.
- Handles and resolves incoming correspondence within five days of receipt, updating the system with relevant information.
- Analyzes assigned accounts using AS400, Meditech, Accurint, Cerner, directory assistance, and credit reports to maximize collection efforts.
Requirements
- H.S. Diploma or GED required
- Associate Degree in Business, Finance, Healthcare Administration, or a related field preferred
- Nice to have: experience working with insurance follow-up
- Nice to have: experience in a healthcare setting