Collections Specialist

Surgery Partners Careers•McKinney, TX

1d•Onsite

About The Position

The Collections Specialist will be responsible for monitoring and managing aged accounts receivable for both patient and insurance balances. This role involves contacting patients and insurance companies to collect overdue balances, resolving claim denials, and ensuring accurate claim submissions. The specialist will also educate patients on their financial responsibilities and maintain detailed records of all collection activities.

Requirements

High school diploma or GED required
Minimum 1–2 years of experience in medical collections, healthcare billing, or a similar role in a hospital or clinic.
Familiarity with EHR and billing systems (e.g., Epic, Cerner, Meditech) is highly desirable.
Strong knowledge of insurance claims processes, CPT/ICD-10 coding basics, and third-party payer requirements.
Excellent communication, negotiation, and problem-solving skills.
Ability to manage multiple accounts and prioritize tasks in a fast-paced environment.

Nice To Haves

Associate degree in Accounting, Business, or Healthcare Administration preferred.

Responsibilities

Monitor and manage aged accounts receivable for both patient and insurance balances.
Contact patients, insurance companies, and third-party payers to collect overdue balances via phone, email, or written correspondence.
Review and resolve claim denials and underpayments, including filing appeals when necessary.
Work closely with the billing team to ensure accurate claim submissions and resolve billing discrepancies.
Educate patients on their balances, insurance coverage, and payment plan options.
Document all collection activities and patient interactions in the hospital’s electronic health record (EHR) or billing system.
Meet or exceed departmental productivity and collection goals.
Stay updated on payer guidelines, insurance policies, and federal/state regulations (HIPAA, FDCPA, etc.).
Maintain patient confidentiality and treat all individuals with respect and professionalism.
Follow-up on accounts with outstanding balances that do not have appropriate payment arrangements.