Collections Specialist

We are seeking a compassionate, assertive, and detail-oriented Medical Collections Specialist to oversee patient responsibility and private pay balances. In this role, you will manage outstanding accounts receivable after insurance has processed, work with Medicaid-pending or Medicaid liability accounts, and directly engage with patients and their family members or legal guarantors to resolve balances.
Key ResponsibilitiesPatient & Family Engagement: Directly contact patients, family members, power of attorneys (POAs), or legal guardians via phone and mail to discuss outstanding balances and secure payment.Private Pay & Patient Responsibility: Resolve self-pay balances, co-pays, deductibles, coinsurance, and private room rate differences in a firm yet empathetic manner.Medicaid Collections: Work with residents and families to manage Patient Liability Amount (NAMI/Spend-down) balances and address payment gaps during Medicaid application or renewal processes.Payment Plans & Settlements: Negotiate manageable payment arrangements and settlements within company financial guidelines.Account Resolution: Identify delinquent accounts for escalation, bad-debt write-offs, or third-party collection agencies when necessary.Compliance & Record Keeping: Maintain meticulous notes in the billing software while adhering strictly to HIPAA, FDCPA, and state regulatory standards.
Qualifications & RequirementsExperience: 2+ years of healthcare collections, patient financial counseling, or accounts receivable experience.Communication Skills: Exceptional verbal communication and conflict-resolution skills. You must feel completely comfortable having direct, sensitive financial conversations with residents' family members.Medicaid Familiarity: Solid understanding of Medicaid patient liability, spend-downs, and how Medicaid coverage affects patient responsibility.Software Proficiency: Experience with healthcare billing/EHR systems (e.g., PointClickCare, MatrixCare, Epic, or similar) and Microsoft Excel.Mindset: Strong negotiation skills balanced with empathy, patience, and high emotional intelligence.