[Hiring] Self-Pay Collection/Insurance Verification Specialist @AT&C Revenue Services

Role Description

As a Self-Pay Collection/Insurance Verification Specialist, you’ll be on the front line of the revenue cycle — confirming coverage, preventing denials, and setting patients up for a smooth billing experience.

• Patient Collections:
  • Proactively contact patients for self-pay balances.
  • Negotiate payment arrangements.
  • Follow up on unpaid accounts.
  • Prepare third party collections list monthly.
• Patient Communication:
  • Provide exceptional customer service by addressing patient inquiries and concerns regarding their accounts and balances.
  • Explain billing statements, payment options, and financial assistance programs to patients in a clear and empathetic manner.
  • Educate patients on account balances, co-pays, deductibles, and financial responsibilities.
• Payment Posting and Documentation:
  • Accurately apply payments received from patients to the appropriate accounts.
  • Maintain detailed notes about collection efforts, payment arrangements, and patient communication.
  • Ensure all payment arrangements are compliant with company policy and procedures.
• Communicate with Payers:
  • Contact insurance companies to clarify benefits, resolve discrepancies, and document verification details.
  • Verify patients' insurance coverage, benefits, and eligibility before services are rendered.
  • Confirm details such as co-pays, deductibles, and out-of-pocket costs for specific procedures or treatments.
• Support Patients:
  • Explain coverage and out-of-pocket costs clearly, answer questions, and build trust.
  • Address patient questions or concerns related to their insurance benefits.
• Pre-Authorization and Referrals:
  • Obtain prior authorizations from insurance companies for procedures, surgeries, or treatments that require approval.
• Prevent Denials:
  • Flag coverage issues before services to reduce claim denials and ensure proper billing.
  • Work closely with the billing and coding departments to ensure accurate information is provided for claims submissions.
• Document Accurately:
  • Enter insurance details, authorization numbers, and verification results into the PM/EHR system.
• Collaborate Across Teams:
  • Partner with scheduling, billing, and clinical staff to ensure services are compliant and authorized.

Qualifications

• High school diploma or GED
• 2+ years in healthcare revenue cycle (medical, ASC, or related field)
• Patient accounting systems such as Advantx, Vision, HST, SIS Complete, MoD Med experience a plus
• Knowledge of payer contracts, EOBs, HIPAA regulations
• Understanding of the full revenue cycle

Requirements

• Knowledge of insurance plans and terminology (Medicare, Medicaid, PPO, HMO, deductibles, co-pays, coinsurance)
• Ability to identify discrepancies and resolve coverage issues quickly
• Strong organizational and time management skills
• Attention to Detail: Ability to identify and resolve account discrepancies with accuracy.
• Excellent communication and customer service skills
• Proficiency with insurance portals, EHRs, payer contracts, and billing software
• Compliance Knowledge: Understanding of HIPAA and applicable state and federal regulations regarding collections and patient confidentiality.

Benefits

• Competitive Pay: $16–$22/hour, based on experience
• Comprehensive Benefits: Medical, dental, vision, and 401(k) match after one year
• Generous PTO: Vacation, sick leave, and paid holidays
• Professional Development: Training and career advancement opportunities
• Fully Remote: Work from home with secure internet and direct phone line

Company Description

AT&C is a leading Revenue Cycle Management (RCM) partner serving Ambulatory Surgery Centers (ASCs) nationwide. We’re dedicated to accuracy, compliance, and exceptional service.