Demo

Patient Pay Specialist

ghc
Virtual TX, TX Full Time
POSTED ON 12/12/2025
AVAILABLE BEFORE 2/12/2026
Job Title Patient Pay Specialist Location Virtual TX Additional Location(s) Employee Type Employee Working Hours Per Week 40 Job Description At CSI Pharmacy (CSI), we are on a mission to provide Specialty Pharmacy services to patients with chronic and rare illnesses in need of complex care. CSI is a rapidly growing national Specialty Pharmacy. Whether you work directly with patients or behind the scenes in support of the business and its employees, you will use your expertise, experience, and skills to support our patients and our mission. Summary The Patient Pay Specialist is responsible for managing patient accounts with self-pay balances, billing, collection, account resolution, and communication with patients regarding their financial responsibilities. This role ensures timely and accurate billing and provides excellent customer service to patients regarding billing inquiries. Base Range: $20 - $22/hr (DOE) Location: This position will ideally be based in Plano, TX but is not a requirement Schedule: (Remote) Monday - Friday, 8:00am - 4:30pm CST Essential Duties and Responsibilities include the following. Other duties may be assigned, as necessary. Monitor and manage patient accounts with outstanding self-pay balances. Explain bills, charges, and payment options to patients in a clear, professional and timely manner. Ensure accurate billed charges do not exceed negotiated or contractual pricing where indicated. Refer patients for financial assistance when applicable. Ensure patient statements are uploaded into Waystar Patient Notebook according to company policy. Assist with setting up patient payment plans in Patient Notebook or collecting payments in accordance with insurance responsibility and patient quotes given at start of care. Maintain detailed documentation of all communications and payment activities in EHR system. Clearly communicate any billing-related issues to all appropriate parties including Intake, Collections, and Manager. Review self-pay undistributed cash and credit balances and provide refunds to patients as necessary or submit cash distribution request for accuracy. Respond to patient inquiries related to their balances, statements and insurance adjustments/payments. Maintain current knowledge of departmental and organizational policies. Work closely with other departments (e.g. billing, cash posting, intake, PCCs, patient support, collections, etc.) to resolve account issues. Consistently represents the company in a professional manner. Maintains effective working relationships and cooperates with all personnel in the Company. Ensure compliance with all HIPAA, federal, state and organizational regulations regarding confidentiality and billing practices. Adheres to the Company’s compliance requirements as stated in the policy and procedure manual and all other related policies. Performs other duties and responsibilities as assigned Qualification Requirements To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. Provide the highest level of professionalism, responsiveness, and communication. Must possess the ability to multi-task and frequently change direction. Proficient in the use of computers and other devices. Education and/or Experience High school diploma or GED Ability to work independently and within a multidisciplinary team. Basic math, bookkeeping and accounting skills 1-3 years of experience in medical billing. Understanding of industry-specific policies, such as HIPAA regulations for health care Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform essential functions. While performing the duties of this job, the employee is regularly required to talk or listen. The employee regularly is required to stand, walk, sit, climb stairs, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms. Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. NOTICE: Successful completion of a drug screen prior to employment is part of our background process, which includes medical and recreational marijuana. By supplying your phone number, you agree to receive communication via phone or text. CSI Pharmacy is an Equal Opportunity Employer CSI Pharmacy We’re a nationwide specialty pharmacy, founded by pharmacists and dedicated to providing services for patients with chronic and rare illnesses that require complex care. We are invested in improving the health, and the lives, of the people we serve by offering expert clinicians, passionate advocates, committed healthcare partners, and strategic reimbursement experts. Our goal is to optimize patient outcomes while treating patients as if they were members of our family. Every employee – from those who work with our patients in the field, to those who support them in administrative and office roles – is valued, respected, and encouraged to grow. CSI Pharmacy is an Equal Opportunity Employer Privacy Statement Providing complex therapies to patients in the home setting is a long-term commitment for our CSI Pharmacy staff. Not only do we work hard to ensure all of our patients receive the highest level of care and comfort, but we also love getting to know our patients personally and sharing their sense of success when their condition improves. Here are some of the folks you may meet on your journey with us.

Salary : $20 - $22

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