Join our Talent Network

60 locations.
19 countries.
8 industries.
1 you.

Join us.


Apply Now    
Job ID / Title:
Healthcare Customer Service Specialist
Job Category:
Customer Service Internet
City:
Clifton
State:
NJ
Work Location:
Brighton Road

Job Description


Sutherland Healthcare Solutions is a leading provider of revenue cycle management solutions 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 & other third-party businesses. Make outbound calls to patients & Insurance carriers regarding outstanding balances. 
  • Understand payer contracts, rules and regulations. 
  • Understand and apply all client policies on billing & 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. 
  • Perform all tasks in accordance with Sutherland Client Compliance policies. Document account activity in the Patient Accounting system. 
  • Perform other duties as assigned. 
  • Clerical functions including scanning, copying, faxing, and filing.

Qualifications

JOB REQUIREMENTS 

  • High School diploma or GED required. 
  • 1-2 years’ work-related experience would be an added advantage but not required. 
  • Must be able to work Monday-Friday, 10am - 6:30pm and/or 12:30pm - 9pm. Must be flexible to work weekends as needed.
  • 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. 
  • 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
  • IDX, Epic, SMS Invision, I-series, Meditech experience is an added advantage but not required
Apply Now