Customer Service- Insurance Billing/Self Pay

Sutherland is hiring a Customer Service Representative to serve as the primary contact for patients with self-pay and out-of-pocket medical balances. The role resolves financial accounts, addresses insurance billing issues, and follows approved guidelines and applicable regulations.

Responsibilities:

• Understand payer contracts, rules and regulations
• Understanding of insurance eligibility requirements
• Understanding of 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 but not limited to HIPAA, PCI Compliance regulations, PII/PHI Security

Requirements:

• High School diploma or GED required
• 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
• Microsoft Office experience required
• This role is open to those eligible to work in the USA
• College preferred
• Hospital or Healthcare (US) knowledge/experience preferred
• Contact or Call Center experience preferred
• SMS Invision, I-series, Meditech, Epic experience a plus