Self-Pay Claims Processor

We are looking for a Self-Pay Claims Processor to join a hospital revenue cycle team in Pennsylvania. This contract opportunity has the potential to become permanent, is fully onsite, and is ideal for someone who can manage open receivables, investigate billing issues, and support timely payment resolution. The person in this role will work across patient accounts and payer communications to help improve collections, maintain accurate records, and keep account activity moving efficiently.

Responsibilities:
• Manage follow-up activities for unpaid, denied, or partially reimbursed accounts to support faster claim resolution and reduce aging balances.
• Prepare, submit, and monitor claims with government and commercial payers, ensuring issues are identified and addressed promptly.
• Examine explanation of benefits and remittance details to determine next steps, make routine corrections, or escalate more complex discrepancies.
• Respond to questions from insurance representatives and patients regarding account status, billing concerns, and payment-related matters.
• Record all actions, updates, and outcomes in billing platforms to maintain complete and accurate patient financial information.
• Support payment application, account adjustments, and reconciliation tasks to help keep receivable records current and balanced.
• Process incoming correspondence and assist with day-to-day business office activities that contribute to revenue cycle operations.
• Meet established productivity and accuracy standards while handling multiple accounts in a fast-paced healthcare setting.

Qualifications:

• High school diploma or equivalent required.
• At least 2 years of experience in healthcare billing, collections, or accounts receivable.
• Working knowledge of claim follow-up processes, reimbursement activity, and payer account resolution.
• Familiarity with Medicare, Medicaid, and commercial insurance billing practices.
• Ability to interpret EOBs, denials, and remittance information with strong attention to detail.
• Experience using billing software and Microsoft Excel in a work setting.
• Strong organization, time management, and communication skills, with the ability to work independently.
• Hospital or broader healthcare environment experience is preferred.

Compensation

Based on experience

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