Patient Collection Specialist

TalentHop; United States; On-site; USD 42,000 - 66,000; Full time

Job summary

Vital Care in the United States is seeking a Patient Collection Specialist to manage outstanding patient accounts receivable for franchise partners, ensuring accurate balances and clear communication with patients and staff.

You will research accounts, verify benefits, collect payments, arrange payment plans, escalate issues as needed, and stay current on assistance programs, with a commitment to HIPAA compliance and high-quality service.

Qualifications

• Experience in self-pay collections within healthcare settings is preferred.
• Able to resolve complex financial issues while maintaining confidentiality.
• Knowledge of HIPAA compliance and patient privacy practices.

Responsibilities

• Research accounts to verify accurate self-pay balances.
• Review benefit verification and admission agreements to determine patient financial responsibilities.
• Obtain updated patient information from franchise locations.
• Prioritize follow-up tasks based on patient statement reports.
• Process patient payments and establish payment arrangements within guidelines.
• Recommend write-offs or further collection actions when applicable.
• Maintain current knowledge of payment options and processes.
• Assist patients with enrollment in assistance programs.
• Manage daily follow-up on unpaid patient balances using financial reports and company resources.
• Communicate financial information clearly to patients, caregivers, franchisees, and team members.
• Respond to inquiries regarding account balances, payments, and financial hardship.
• Escalate problematic accounts to leadership.
• Collaborate with designated teams to monitor patient statement communications.
• Educate patients on out-of-pocket expenses and therapy-related financial participation.
• Audit financial hardship agreements for compliance.
• Update and maintain reference materials for patient assistance programs.
• Perform other related duties as assigned.

Skills

Collections experience

English communication

Patient/franchise partner interaction

MS Office

Education

High school diploma or equivalent

Tools

Pharmacy software

Job description

Vital Care is a pharmacy franchise business specializing in infusion services for patients with chronic and acute conditions. Established in 1986, the organization operates over 100 franchised infusion pharmacies and clinics across 35 states, focusing on underserved and secondary markets. They support locally-owned franchise locations in launching, growing, and managing successful infusion service operations.

About the Opportunity:

The PATIENT COLLECTION SPECIALIST role focuses on managing outstanding patient accounts receivable on behalf of franchise partners. This position aims to optimize collections while maintaining clear and cooperative communication with patients, franchisees, and internal teams. The role is critical in ensuring financial clarity and supporting the organization’s ongoing operations and growth.

Responsibilities:

• Research accounts to verify accurate self-pay balances.
• Review benefit verification and admission agreements to determine patient financial responsibilities.
• Obtain updated patient information from franchise locations.
• Prioritize follow-up tasks based on patient statement reports.
• Process patient payments and establish payment arrangements within guidelines.
• Recommend write-offs or further collection actions when applicable.
• Maintain current knowledge of payment options and processes.
• Assist patients with enrollment in assistance programs.
• Manage daily follow-up on unpaid patient balances using financial reports and company resources.
• Communicate financial information clearly to patients, caregivers, franchisees, and team members.
• Respond to inquiries regarding account balances, payments, and financial hardship.Escalate problematic accounts to leadership.
• Collaborate with designated teams to monitor patient statement communications.
• Educate patients on out-of-pocket expenses and therapy-related financial participation.
• Audit financial hardship agreements for compliance.
• Update and maintain reference materials for patient assistance programs.
• Perform other related duties as assigned.

Requirements:

• Ability to research and resolve complex financial issues.
• Strong communication skills in English, including listening, speaking, and writing.
• Experience with collection processes and patient/franchise partner interaction.
• Skill in identifying documentation gaps and implementing solutions.
• Proficiency with MS Office and pharmacy software applications.
• Commitment to confidentiality and HIPAA compliance.
• High school diploma or equivalent required.
• Prior experience in self-pay collections, preferably within infusion or medical settings.

Pay Range and Compensation Package:

• The pay range and compensation package for this role will be determined based on the candidate's experience, skills, and other relevant factors.
• Comprehensive medical, dental, and vision insurance plans.
• Paid time off, personal days, and company holidays.
• Paid paternity leave.
• Volunteer days off.
• Company-sponsored basic life insurance and long-term disability insurance.
• Employee-paid voluntary life, accident, critical illness, and short-term disability insurance.
• 401(k) matching.
• Employee assistance programs including mental health, financial, and legal support.
• Rewards programs via medical carrier.
• Employee referral program.

Equal Opportunity Statement:

Our client is an equal opportunity employer. They celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, or national origin.

Note:

TalentHop is a recruitment partner of this role. Please note that all employment decisions, including candidate assessment, interviews, hiring, compensation, and employment terms, are made exclusively by the hiring employer.