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 Responsibilities

- Patient &
- 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 &

- Requirements

- Experience:

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.

📌 Collections Specialist (México)
🏢 Xploy Solutions
📍 México