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We are currently looking for a Patient Billing & Collections Specialist (Work-from-Home | Night Shift) to support our client based in the US.

What's in it for you

There's a lot to love about Connext. Here are some of the reasons why:

Competitive salary and bonuses
25% Night Differential Pay
20 Annual Leave Credits
Health, dental, and life insurance
Fun HR virtual and onsite events
Professional development and training opportunities
Employee assistance programs (EAP)
Employee volunteer and community service opportunities
Amenities for leisure and recreation
Certified Great Place to Work (2022)

Job Summary:

The Patient Billing & Collections Specialist is responsible for managing patient accounts, resolving billing concerns, collecting outstanding patient balances, administering payment plans, and supporting insurance-related account resolution. This role serves as the primary contact for patients regarding financial responsibilities while ensuring accurate documentation, compliance, and a positive patient financial experience.

Responsibilities:

• Manage self-pay and patient responsibility accounts through outbound calls, billing statements, collection letters, and account follow-ups.

• Communicate with patients, guarantors, and family members regarding account balances, payment options, insurance benefits, and financial responsibilities.

• Review account ledgers, Explanation of Benefits (EOBs), payment records, and reimbursement information to determine patient responsibility.

• Process patient payments, refunds, payment adjustments, and maintain accurate payment documentation.

• Set up and manage patient payment plans, including monitoring payment compliance, resolving declined payments, and reinstating failed arrangements.

• Investigate and resolve billing discrepancies, aged balances, payment issues, and account-related concerns.

• Research insurance-related issues, including Coordination of Benefits (COB), coverage terminations, eligibility concerns, and reimbursement discrepancies.

• Coordinate with internal departments to resolve patient account issues and insurance-related concerns.

• Handle patient complaints by investigating concerns, providing updates, documenting resolutions, and escalating issues when necessary.

• Maintain accurate documentation of patient communications and collection activities within EMR and revenue cycle systems.

• Support revenue cycle performance goals through effective collections, account resolution, and process improvement initiatives.

• Ensure compliance with HIPAA, healthcare regulations, payer requirements, and company policies.

Qualifications and Requirements:

• Minimum of three (3) years of experience in healthcare billing, collections, patient financial services, or revenue cycle operations.

• Experience in healthcare billing and collections expertise.

• Working knowledge in revenue cycle management and insurance reimbursement methodologies.

• Familiarity with CPT, HCPCS, ICD-10, revenue codes, and EOB interpretation.

• Behavioral health experience is a plus.

Benefits:

Company Christmas Gift
Company Events
Health Insurance
Life Insurance
Opportunities for promotion
Pay raise
Promotion to a permanent employee

Why choose

CONNEXTGreat Company Culture, a Great Place to Work Certified, Great Benefits, and lots of room for growth.

Connext is a dedicated team of business process outsourcing experts and innovators, with experience in supporting world-class companies in Title and Escrow, Healthcare, Produce Distribution, Retail and Fashion, Design Consulting, and Finance.

#Connext #PatientCollections #HealthcareBilling #ConnextTheBest