Patient Billing & Collections Specialist (Work-from-Home | Night Shift)

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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.

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