09 oct
|
Xploy Solutions
|
Bogotá
09 oct
Xploy Solutions
Bogotá
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 (Bogotá)
🏢 Xploy Solutions
📍 Bogotá