Self-Pay Operations Specialist

We are seeking remote Self Pay Operations Specialists to support patient account operations, medical record fulfillment, and revenue cycle documentation activities. This role is responsible for reviewing patient accounts, processing and distributing medical and billing documentation, maintaining workflow productivity, and partnering with internal teams to resolve account-related issues. The ideal candidate is detail-oriented, organized, and experienced in healthcare administration, medical records, billing support, or revenue cycle operations.
Responsibilities: • Print, prepare, and mail medical records, itemized bills, UB-04 forms, CMS-1500 forms, EOBs, and other required patient documentation. • Retrieve documentation from multiple sources, including client host systems, shared drives, Teams folders, emails, virtual fax platforms, and internal applications. • Process daily documentation requests and ensure accurate and timely distribution of records to patients, payers, attorneys, and internal departments. • Review patient accounts, work queues, worklists, and patient portals to identify and address documentation or account-related issues. • Research account discrepancies, correct errors when appropriate, and coordinate with responsible departments to ensure timely resolution. • Respond to inquiries and documentation requests from patients, insurance payers, attorneys, and other stakeholders while maintaining compliance with privacy regulations. • Partner with internal departments to investigate and resolve patient complaints, account concerns, and complex situations requiring detailed review and interpretation. • Track, maintain, and report daily workflow metrics, production volumes, backlog status, and other operational data. • Assist with special projects, reporting requests, and department initiatives as assigned. • Maintain accurate records and meet productivity, quality, and compliance standards in a fast-paced healthcare environment.

Qualifications:

Qualifications: • High School Diploma, GED, or equivalent experience required. • Previous call center or high-volume customer service experience required. • 3 to 5 years of experience in healthcare administration, medical records, patient accounts, revenue cycle, billing, or a related field. • Strong attention to detail with the ability to manage multiple priorities and deadlines. • Excellent written and verbal communication skills with a customer-service-oriented approach. • Experience working with electronic medical records, patient account systems, and document management platforms. • Ability to analyze information, resolve issues, and collaborate effectively across departments.
Certification Requirement: • Certified Revenue Cycle Representative (CRCR) certification required within nine (9) months of permanent. • Certification costs are company paid.

Compensation

$17.00-$17.50 Hourly

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