Patient Collections Specialist

Job Overview
We are seeking a dynamic and detail-oriented Patient Collections Specialist to join our healthcare finance team. In this vital role, you will be responsible for managing patient accounts receivable, ensuring timely collection of outstanding balances, and maintaining positive patient relationships. Your expertise in medical billing, financial concepts, and negotiation will drive revenue cycle efficiency while delivering exceptional customer service. This position offers an exciting opportunity to contribute to the financial health of our organization while supporting patients through transparent and respectful communication.

This position will hybrid at first and will transition to fully remote after completing training and standard requirements.

Duties

• Draft and manage promissory notes outlining guarantor payment obligations for services.
• Collect payments in accordance with promissory notes and track outstanding balances.
• Maintain accurate and timely accounting of all patient cash collections.
• Establish and maintain relationships with guarantors from pre-admission through discharge and until all balances are resolved.
• Calculate and issue refunds to guarantors, as applicable.
• Develop and implement standardized patient financial onboarding processes, including clear explanation of financial obligations at intake.
• Own the lifecycle of patient accounts receivable (AR), including aging analysis, prioritization, and escalation protocols.
• Proactively manage delinquent accounts through structured follow-up cadence (calls, emails, notices).
• Coordinate with admissions and clinical teams to ensure financial alignment prior to and during treatment.
• Support hardship application review and payment plan structuring based on patient financial capacity.
• Ensure compliance with all applicable healthcare financial regulations and patient billing standards.
• Maintain detailed documentation of all guarantor communications and agreements.
• Partner with legal/leadership on collections strategy, including escalation to external collections or lien processes when applicable.

Qualifications

• Strong interpersonal and negotiation skills
• High attention to detail and financial accuracy
• Experience in healthcare collections or patient financial services
• Experience using financial accounting tools, merchant and other payment processing software, and spreadsheet software (such as Microsoft Excel)
• Ability to balance empathy with accountability in financial discussions

Education & Experience

• Must possess a minimum of a Bachelor's degree in a related field and two or more years of related experience in healthcare billing, collections, or financial operations; or an equivalent combination of education and experience.
• Previous experience in financial accounting, or finance-related roles, preferably in the healthcare sector or a related industry.

Join our team as a Patient Collections Specialist where your proactive approach and financial expertise will make a meaningful impact. We value energetic professionals committed to excellence in healthcare finance operations while providing compassionate support to our patients.

Pay: $25.00 - $28.00 per hour

Benefits:

• Flexible schedule
• Opportunities for advancement
• Paid sick time
• Paid time off
• Paid training
• Work from home

Work Location: Hybrid remote in Wilmington, NC 28401

Salary : $25 - $28