Collections Specialist

We are seeking a compassionate, assertive, and detail-oriented Medical CollectionsSpecialist to oversee patient responsibility and private pay balances. In this role, you willmanage outstanding accounts receivable after insurance has processed, work withMedicaid-pending or Medicaid liability accounts, and directly engage with patients and theirfamily members or legal guarantors to resolve balances.
Key Responsibilities
● Patient & Family Engagement: Directly contact patients, family members, power ofattorneys (POAs), or legal guardians via phone and mail to discuss outstanding balancesand secure payment.● Private Pay & Patient Responsibility: Resolve self-pay balances, co-pays,deductibles, coinsurance, and private room rate differences in a firm yet empatheticmanner.● Medicaid Collections: Work with residents and families to manage Patient LiabilityAmount (NAMI/Spend-down) balances and address payment gaps during Medicaidapplication or renewal processes.● Payment Plans & Settlements: Negotiate manageable payment arrangements andsettlements within company financial guidelines.● Account Resolution: Identify delinquent accounts for escalation, bad-debt write-offs, orthird-party collection agencies when necessary.● Compliance & Record Keeping: Maintain meticulous notes in the billing software whileadhering strictly to HIPAA, FDCPA, and state regulatory standards.
Qualifications & Requirements
● Experience: 2+ years of healthcare collections, patient financial counseling, or accountsreceivable experience.● Communication Skills: Exceptional verbal communication and conflict-resolution skills.You must feel completely comfortable having direct, sensitive financial conversationswith 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 emotionalintelligence.