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