Collections Specialist

Xploy Solutions; Bogotá ciudad; Presencial; COP 42.000.000 - 65.000.000; Jornada completa

Descripción de la vacante

Xploy Solutions in Bogotá seeks a compassionate Medical Collections Specialist to oversee patient responsibility and private pay balances after insurance processing. You will engage with patients and families to resolve balances and negotiate payment plans, ensuring compliance with HIPAA and FDCPA norms.

The role requires 2+ years in healthcare collections or similar AR experience, with proficiency in healthcare billing systems like PointClickCare, MatrixCare, or Epic, and Excel.

Formación

• 2+ years of healthcare collections, patient financial counseling, or accounts receivable experience.
• Exceptional verbal communication and conflict-resolution skills.
• Solid understanding of Medicaid patient liability and related processes.
• Experience with healthcare billing/EHR systems (PointClickCare, MatrixCare, Epic) and Excel.

Responsabilidades

• Directly contact patients, family members, POAs, or legal guardians to discuss outstanding balances and secure payment.
• Resolve self-pay balances, co-pays, deductibles, coinsurance, and private room rate differences empathetically.
• Manage Medicaid-related balances (NAMI/Spend-down) during application or renewal processes.

Conocimientos

Communication Skills

Conflict Resolution

Negotiation

Empathy

Herramientas

PointClickCare

MatrixCare

Epic

Excel

Descripción del empleo

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.