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., Point Click Care, Matrix Care, Epic, or similar) and Microsoft Excel. Mindset: Strong negotiation skills balanced with empathy, patience, and high emotional intelligence. #J-18808-Ljbffr

📌 Collections Specialist (Ciudad de México)
🏢 Xploy Solutions
📍 Ciudad de México