Gastro Care Partners

• Answer incoming phone calls, emails, and messages in a courteous and professional manner. • Deliver accurate cost estimates to patients prior to scheduled appointments. • Assist patients with payment arrangements and financial assistance applications. • Educate patients on available financial assistance options and clearly explain the financial impact of each. • Serve as a liaison between patients and the practice to ensure charges are applied correctly, transactions are properly recorded, and account discrepancies are resolved in a timely manner. • Generate daily insurance verification reports and confirm patient eligibility. • Utilize eligibility systems, payer websites, and phone communication to verify insurance benefits and coverage details. • Accurately enter and maintain patient insurance information in appropriate systems. • Document all interactions and updates in the appropriate electronic systems (EHR/EMR). • Participate in special projects and perform additional duties as assigned.

Role Description Gastro Care Partners is seeking a fully remote Early-Out Self-Pay Representative to join our Revenue Cycle Team. Responsible for timely and professional collection of patient balances before they are outsourced to bad debt agencies. This role ensures a positive patient experience while securing payments, setting up payment plans, resolving billing issues, and educating patients about their financial responsibilities. Representatives are expected to work efficiently, meet collection targets, and maintain compliance with company policies and applicable regulations. Key Responsibilities - Contact patients via phone, email, and/or letter to resolve outstanding self-pay balances in the early-out period. - Clearly explain account balances, insurance processing, and payment options. - Negotiate and establish acceptable payment plans in accordance with company policy. - Accept payments and provide receipts or confirmations as needed. - Document all interactions and follow-up actions in the billing system accurately and promptly. - Escalate unresolved issues to appropriate departments. - Monitor and maintain assigned work queues to ensure timely follow-up including but not limited to Statement Review, Collection Queues, Unapplied Queues, Infusion Claims, Insurance Negotiations (SCAs) and Failed Payment Plans. - Meet or exceed monthly productivity and collection goals. - Maintain compliance with HIPAA and other regulatory requirements. Job Expectations - Communication: Maintain a professional and compassionate tone at all times. Communicate clearly and effectively with patients and team members. - Productivity: Handle a minimum of [X] accounts per day and meet call/contact quotas. - Collections: Achieve a collection rate of at least [X]% of assigned monthly balances. - Accuracy: Ensure all account notes and updates are entered correctly in the system. - Compliance: Follow all internal procedures and external regulations (FDCPA, HIPAA, etc.). - Teamwork: Collaborate effectively with peers and leadership to resolve patient issues and improve processes. Qualifications - High school diploma or GED required. - 1+ years of experience in medical billing, collections, or healthcare customer service preferred. - Familiarity with EHR systems and billing platforms (e.g., Epic, ModMed) preferred. - Strong verbal and written communication skills. - Ability to handle sensitive conversations with empathy and professionalism. - Basic math and computer skills. Benefits - Competitive market pay: $20 - $23.50 DOE. - Great health insurance benefits. - Generous 401k matching program up to 5%. - Paid time off and paid holidays. - Retirement plan options. - And so much more... Company Description Gastro Care Partners is an equal opportunity employer and does not discriminate in employment on account of race, color, religion, sex, gender, pregnancy, national origin, age, marital or familial status, sexual orientation, gender identity, disability, medical condition, veteran status, genetic information, ancestry, or any other basis protected under federal, state, or local law.