Self- Biller

Position: Self-Pay Biller
Location: Portola

Position Summary The Self-Pay Biller is responsible for managing accounts for uninsured patients and patient balances after insurance processing. This position ensures timely and accurate billing, payment posting, collection follow-up, financial assistance screening, and patient communication regarding account balances while supporting the organization’s revenue cycle goals.

Essential Duties and Responsibilities Self-Pay Account Management Review and manage self-pay patient accounts for accuracy and completeness.

Generate and distribute patient statements in accordance with billing cycles.

Monitor outstanding balances and perform timely account follow-up.

Establish and maintain payment plans according to policy.

Document all patient communications and account activity.

Patient Financial Counseling Educate patients regarding financial responsibility and payment options.

Provide estimates for services when requested.

Explain charges, balances, and payment expectations professionally.

Billing and Collections Reconcile patient payments accurately.

Research and resolve billing discrepancies and account concerns.

Review accounts for bad debt eligibility and collection placement.

Coordinate with collection agencies according to policy.

Monitor aging reports and reduce outstanding receivables.

Insurance and Eligibility Support Identify patients who may qualify for insurance or government assistance.

Work with registration and billing teams to ensure accurate account status.

Compliance and Reporting Maintain HIPAA compliance and confidentiality standards.

Follow all federal, state, and organizational billing regulations.

Prepare reports related to self-pay balances, collections, and payment plans.

Participate in revenue cycle improvement initiatives.

Qualifications High school diploma or equivalent required. Associate degree and healthcare billing experience preferred.

Experience Minimum of 1-2 years of medical billing, patient accounts, collections, or healthcare revenue cycle experience preferred.

Experience with electronic health records (EHR) and practice management systems preferred.

Rural health clinic or hospital billing experience preferred.

Performance Expectations Maintain timely follow-up on self-pay accounts.

Meet established collection and aging reduction goals.

Ensure accurate payment posting and account documentation.

Provide excellent patient service while supporting the organization's financial objectives.

Maintain compliance with all applicable billing and privacy regulations.

Knowledge, Skills, and Abilities Knowledge of medical billing, collections, customer service, EHR systems, and revenue cycle operations. Strong communication and organizational skills required.

Non-Exempt This description is intended to identify the general nature and level of work performed and is not intended to be an exhaustive list of all duties, responsibilities, or qualifications associated with the position.
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