Collections Specialist

Aston Carter•Bethesda, OH

4d•$20 - $25•Onsite

About The Position

The Collections Specialist plays a key role in managing patient accounts and reducing aging receivables by proactively contacting patients, reviewing account and insurance information, and resolving outstanding balances. This position focuses on medical collections in a fast-paced, patient-centered environment, ensuring accuracy, professionalism, and compliance with privacy regulations while supporting the overall financial health of the organization.

Requirements

High school diploma is required.
At least 2+ years of medical collections experience, preferably in a clinical or healthcare setting.
Experience with collection calls and call center or high-volume outbound calling environments.
Proficiency with electronic health record (EHR) or electronic billing systems; experience with ModMed is beneficial, though other EHR experience is acceptable.
Strong understanding of insurance coverage, benefits, medical terminology, and medical billing processes.
Solid knowledge of billing procedures, account reconciliation, and insurance workflows across commercial and non-commercial payors.
Accounting knowledge or experience performing balance audits, adjustments, and account reviews.
Ability to review, interpret, and analyze explanations of benefits (EOBs) and claims data to resolve account issues.
Proficiency with Microsoft Office, including strong skills in Excel for filtering, formatting, and preparing data.
Excellent communication skills, both written and verbal, with a high level of professionalism in patient and team interactions.
Strong relationship-building skills with the ability to collaborate and influence across cross-functional teams.
Proven ability to manage multiple priorities and remain organized in a fast-paced environment.
Strong problem-solving and analytical skills to address complex account issues and identify resolutions.
High attention to detail, strong time management, and self-discipline to meet productivity and quality standards.

Nice To Haves

Orthopedic or specialty practice medical collections experience is a plus.
Experience working with billing and accounts receivable for both commercial and non-commercial payors.
Comfort working in a collections-focused customer service role, handling sensitive financial conversations with patients.
Interest in continuing education, leadership training, and career development within the healthcare and patient financial services space.
Ability to contribute ideas and participate in collaborative, innovative initiatives related to musculoskeletal (MSK) health and transformative healthcare solutions.
Commitment to lifelong learning and staying current with evolving billing practices, insurance workflows, and healthcare technologies.

Responsibilities

Monitor and follow up on aging receivables, including accounts that are 31, 61, 91, and 121+ days past due.
Conduct mostly outbound calls to patients regarding outstanding balances and past-due accounts, averaging approximately 60+ calls per day.
Review patient accounts, insurance payments, and explanations of benefits (EOBs) to ensure balances are accurate and properly applied.
Explain account status, payment options, and available financial assistance programs to patients in a clear and professional manner.
Document all patient interactions, account notes, and updates thoroughly within the electronic health record (EHR) system.
Track outreach efforts, follow-up activities, and account resolution through reporting tools and established workflows.
Escalate complex, disputed, or unresolved accounts to appropriate team members or leadership when necessary.
Work cross-functionally with Patient Financial Services, billing, and other internal teams to identify and resolve account discrepancies.
Ensure strict compliance with HIPAA and maintain patient confidentiality in all communications and record-keeping.
Perform account reconciliation, balance audits, and adjustments as needed to maintain accurate financial records.
Analyze EOBs and claims data to identify issues, trends, and opportunities for improved collections processes.
Manage multiple priorities and accounts simultaneously while maintaining organization and meeting productivity expectations.
Provide high-level customer service during collection calls, addressing patient questions and concerns with empathy and professionalism.
Support additional responsibilities and projects as assigned to contribute to the overall success of the Patient Financial Services team.