Job Description

COLLECTIONS SPECIALIST

Remote | South Africa | Part-Time | US Working Hours

About the Role

Our client is a US-based healthcare financial management company providing specialized back-office financial services to healthcare facilities across the United States. The organization supports clients with Accounts Receivable, Accounts Payable, payroll, billing, claims management and revenue-cycle functions, with a strong focus on improving cash flow and financial performance.

We are looking for an experienced Collections Specialist to join the Accounts Receivable team. This individual will be responsible for proactively managing outstanding balances, following up on unpaid accounts, resolving payment issues and ensuring collections are processed accurately and efficiently.

The ideal candidate will have experience in healthcare collections, medical billing, accounts receivable or revenue cycle management, with a strong understanding of insurance payments, patient balances and outstanding claims.

Key Responsibilities

• Manage a portfolio of outstanding healthcare accounts and follow up consistently on overdue balances.
• Contact insurance companies, facilities, patients and other relevant parties regarding outstanding balances.
• Follow up on unpaid claims, denied claims and accounts requiring additional documentation or clarification.
• Investigate and resolve discrepancies between billed amounts, payments received and outstanding balances.
• Monitor accounts receivable aging and prioritize collection activity based on account status and aging.
• Follow up on Medicaid-pending accounts and assist with ensuring accounts are processed correctly and efficiently.
• Track and follow up on patient liability payments to ensure payments are received and properly applied.
• Research unpaid or rejected claims and communicate with the appropriate parties to determine the reason for non-payment.
• Maintain accurate and detailed notes regarding collection activity, conversations, payment arrangements and account status.
• Identify accounts requiring escalation and communicate issues promptly to management or the appropriate internal team.
• Reconcile payments and ensure collections are accurately reflected within the relevant billing or accounting system.
• Work closely with Accounts Receivable, billing and facility business-office teams to resolve outstanding account issues.
• Maintain accurate account records and ensure all collection activities are completed in accordance with company procedures and applicable regulations.
• Generate and review AR reports, aging reports and collection activity reports.
• Meet established collection, productivity, accuracy and turnaround-time targets.
• Provide professional and empathetic customer service while maintaining a firm and results-oriented approach to collections.
• Assist with additional Accounts Receivable and revenue-cycle activities as required.

Requirements

• 2–4+ years of experience in collections, Accounts Receivable, medical billing or revenue cycle management
• Previous experience within the US healthcare industry is strongly preferred
• Experience working with healthcare facilities, nursing homes, long-term care, medical practices or similar environments is highly advantageous.
• Strong understanding of healthcare Accounts Receivable and collections processes.
• Experience with insurance claims, Medicaid, Medicare and/or patient responsibility is preferred.
• Comfortable working with aging reports and identifying outstanding or delinquent accounts.
• Strong reconciliation and problem-solving skills.
• Excellent verbal and written English communication skills.
• Confident communicating with insurance providers, patients, facilities and internal stakeholders.
• Highly organized with excellent attention to detail.
• Able to manage a high volume of accounts while maintaining accuracy.
• Strong follow-up skills and the ability to consistently pursue outstanding balances.
• Comfortable working independently in a remote environment.
• Strong computer literacy and ability to learn and work across multiple billing, accounting and healthcare systems.
• Experience with healthcare billing or AR software is highly advantageous.

Key Skills

Healthcare Collections | Accounts Receivable | Medical Billing | Revenue Cycle Management | Insurance Claims | Medicaid | Medicare | Patient Liability | AR Aging | Payment Posting | Account Reconciliation | Claims Follow-Up | Dispute Resolution | Customer Service | Data Accuracy

What We're Looking For

We are looking for someone who is persistent without being aggressive, highly organized and comfortable taking ownership of outstanding accounts from initial follow-up through resolution.

You should be someone who doesn't simply send an email and hope for the best — you know how to investigate why an account remains unpaid, identify the correct next step, follow up consistently and keep detailed records until the issue is resolved.

Healthcare collections experience is particularly valuable, as this role requires an understanding of the complexities surrounding insurance payments, Medicaid-pending accounts, patient responsibility and outstanding claims.