Bilingual Self Pay Specialist - Full-time

Sutherland is a leading provider to the healthcare industry. Our solutions encompass a comprehensive suite of platform enabled back-office services that span the hospital revenue cycle workflow from patient admission, charge capture, claims processing and receivables management. We collaborate with healthcare providers and payers utilizing a unique and flexible blended shore approach. Our solutions are focused on increasing the operating margins and cash flow generation of our healthcare clients by deploying efficient business processes, proprietary re-engineering methodologies and technology enabled automation.

Summary of Responsibilities

• The Self Pay Collector is responsible for a variety of functions: the follow-up of accounts receivable and collections; these include, but are not limited to reimbursement, cash and denial application of assigned third party accounts.

Duties and Responsibilities

• Responsible for timely follow up on patient balances
• Take inbound calls from patients, insurance and other third-party businesses
• Make outbound calls to patients and Insurance carriers regarding outstanding balances
• Understand payer contracts, rules and regulations
• Understand and apply all client policies on billing and coding
• Review claim denials, rejections and take appropriate action
• Communicate issues and offer suggestions to Management for process improvements
• Understand and apply federal and state rules and regulations
• Perform all tasks in accordance with the RCMS Best Practice model
• Document account activity in the Patient Accounting system
• Perform other duties as assigned
• Clerical functions including scanning, copying, faxing and filing

Job Requirements

• High School diploma or GED required
• 1-2 years’ work-related experience would be an added advantage but not required
• Excellent communication skills required
• Must be self-motivated and able to work autonomously with outstanding verbal, written and interpersonal skills
• Ability to develop relationships at all levels and work positively and productively in fast-paced environment not just within the company but with clients as well
• Ability to adapt to change, organize and prioritize multiple projects, activities and deadlines
• Must be able to use computer and basic applications like Word, Excel & Outlook. (If not, training will be provided)
• Must abide by all internal company policies, HIPPA & all other state and federal regulations
• Professional certification like CPAT is an added advantage but not required
• Hospital/Physician experience is an added advantage but not required

Sutherland is a drug free workplace.

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