Self Pay Collection/Insurance Verification Specialist

🛡️ Join Our Team as a Self-Pay Collection/Insurance Verification Specialist

Location: 100% Remote | Department: Billing | Schedule: Full-Time (Non-Exempt)

Why Work With Us

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 — and we’re looking for an Insurance Verification Specialist to help ensure patients receive care with confidence and clarity about their coverage.

What You’ll Do

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.

Your Core Responsibilities:

• 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. 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 pt 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, ensuring the accuracy of the information. 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, reducing the risk of claim denials.
• 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.

A Typical Day

• Follow the process outlined in the Self-Pay Process Policy and Procedure.
• Proactively contact patients with outstanding balances to arrange timely payments.
• Verifies all commercial insurance coverage, workers’ compensation insurance, accident insurance, and state programs and determines patient’s responsibility (copayments, deductibles) if applicable
• Determines patient qualification for coverage and informs patient of status
• Respond to patient inquiries regarding balances, payments, and billing issues in a professional and
  compassionate manner.
• Accurately apply payments, set up payment plans, and document collection activity in the system.
• Monitor aged accounts and follow up consistently on past-due balances according the Self-Pay Process.
• Research and resolve discrepancies in self-pay accounts, including billing errors and misapplied payments.
• Review Payer Contract to appropriately calculate patient responsibility.
• Obtains precertification number from Payers and/or physician’s office where applies
• Maintains current list of facility insurance contracts and payment schedules
• Documents insurance verification details in Client's PM System before date of scheduled admission
• Maintains current information on correct and lawful practices for billing government and private payers for ambulatory surgery care
• Provide financial counseling to patients regarding payment options and financial assistance programs.
• Maintain accurate, up-to-date patient account notes to ensure smooth resolution of balances.

What We’re Looking For

We’re seeking a detail-driven communicator who thrives on accuracy and can make complex insurance details understandable. This role is responsible for managing and resolving outstanding patient balances by contacting patients, negotiating payment arrangements, and ensuring timely collections.

Must-Have Experience:

• 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

Key Skills:

• 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.

Why You’ll Love It Here

• 💰 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

Your Work Environment

This is a remote role with standard hours (8 a.m.–5 p.m. CST). You’ll need a distraction-free workspace, reliable internet.

Ready to Apply?

If you’re passionate about healthcare finance, thrive in a remote environment, and want to be part of a team making a difference for ASCs nationwide — we’d love to hear from you.

Equal Opportunity

AT&C is proud to be an Equal Opportunity Employer. All qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected characteristic.

Originally posted on Himalayas