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Posted August 08, 2026
Robert Half

Sr. Specialist of Self-Pay Operations

Charleston, SC 29414, US Remote Temporary
Compensation: $18 to $18.65 Hourly

We are seeking remote Senior Self-Pay Operations Specialist to support the management and optimization of self-pay accounts receivable, bad debt operations, and billing workflows. This role is responsible for overseeing self-pay account performance, analyzing aging trends, managing vendor placements and recalls, and identifying opportunities to improve collections outcomes. The ideal candidate has extensive healthcare revenue cycle experience, strong analytical abilities, advanced Excel skills, and a proven track record of driving operational excellence within self-pay collections.
Responsibilities: • Oversee self-pay accounts receivable activities to ensure accounts progress through the self-pay lifecycle accurately and efficiently. • Manage bad debt inventory, agency placements, vendor recalls, returns, and reconciliation activities while maintaining accurate account records. • Monitor and manage acute and Physician Revenue Cycle (PRC) inventory to support timely account resolution and cash collections. • Conduct reviews of deceased accounts to ensure appropriate handling, resolution, and compliance with established policies. • Review, investigate, and resolve statement holds to promote timely patient billing and minimize collection delays. • Prepare, analyze, and present reports related to self-pay performance, aging trends, bad debt activity, and Accounts Receivable metrics. • Perform Aged Trial Balance (ATB) reviews and provide actionable insights to leadership and cross-functional teams. • Identify trends impacting self-pay AR performance and recommend strategies to improve collections effectiveness and reduce aging inventory. • Ensure all billing, collections, and account management activities comply with federal, state, local, and organizational requirements. • Partner with internal departments and external vendors to resolve account issues, improve workflows, and enhance operational performance. • Support process improvement initiatives by identifying opportunities to increase efficiency, accuracy, and overall collection outcomes. • Provide guidance and subject matter expertise to team members while promoting a collaborative and results-driven environment.

Qualifications:

Qualifications: • High School Diploma, GED, or equivalent experience required; Associate's or Bachelor's degree preferred. • 4-6 years of experience in healthcare revenue cycle, self-pay collections, patient accounts, accounts receivable, or a related healthcare billing environment. • Strong experience managing self-pay AR, bad debt inventory, collection strategies, and account aging performance. • Experience analyzing data and translating findings into actionable recommendations for leadership. • Advanced Microsoft Excel skills, including reporting, data analysis, and spreadsheet management. • Strong understanding of healthcare billing, collections, reimbursement processes, and revenue cycle operations. • Excellent analytical, problem-solving, and organizational skills. • Ability to manage multiple priorities and meet deadlines in a fast-paced environment. • Strong written and verbal communication skills with the ability to collaborate effectively across teams. • Experience leading initiatives, providing team guidance, and supporting operational improvements is preferred.
Required License: Certified Revenue Cycle Representative (CRCR) required within 9 months of permanent -Company Paid 
Preferred Experience: • Healthcare hospital or physician revenue cycle experience. • Experience working with bad debt agencies, vendor management, and account reconciliation processes. • Knowledge of self-pay collections regulations, compliance requirements, and industry best practices. • Proven ability to identify process improvement opportunities and drive measurable operational results.

Compensation

$18.00-$18.65 Hourly

About Us

TalentMatch®

Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.

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