Patient Collections Specialist - Retina
Southlake, TX
Category: Healthcare
Reference ID: 10084376
Shortcut: http://addisongroup.gosnaphop.com/Jb2P27
Patient Collections Specialist – Retina (Remote)
Location: Fully Remote – Pacific, Central, or Eastern Time Zones
Pay: $22–$26/hour, based on experience
Employment Type: Direct Hire
Benefits: Medical, Dental, Vision, 401K
Position Overview
Addison Group is hiring for our client, a growing national retina specialty organization, seeking 6 experienced Patient Collections Specialists to join its expanding Revenue Cycle team.
This fully remote position focuses on working directly with patients to resolve outstanding balances, explain insurance coverage, review Explanation of Benefits (EOBs), and establish payment arrangements.
At least 1 year of recent retina revenue cycle experience is required.
The ideal candidate understands the complexities of retina billing, including injectable medications, Medicare reimbursement, and patient financial responsibility. This role requires a compassionate, patient-first approach to collections.
Key Responsibilities
- Contact patients regarding outstanding medical balances and payment responsibilities
- Handle approximately 70 outbound calls daily, targeting 25 patient connections
- Respond to approximately 25 inbound patient calls daily
- Review and explain EOBs, insurance payments, and patient balances
- Educate patients on their insurance coverage and out-of-pocket expenses
- Establish payment plans and work with patients to find realistic payment solutions
- Assist patients with billing questions before and after appointments
- Explain charges related to retina services, including eye injections and treatments
- Research account discrepancies and help resolve billing concerns
- Navigate Medicare, commercial insurance, and patient self-pay accounts
- Document patient interactions and payment arrangements accurately
- Meet established productivity expectations while maintaining excellent patient service
- Maintain HIPAA compliance in a fully remote work environment
Qualifications
- 1+ year of recent retina revenue cycle experience required
- Experience with patient collections, medical billing, or patient financial services
- Experience collecting payments and establishing patient payment plans
- Ability to read, interpret, and explain Explanation of Benefits (EOBs)
- Strong understanding of Medicare and commercial insurance coverage
- Familiarity with patient financial responsibility for specialty medical services
- Comfortable handling high-volume inbound and outbound calls
- Strong communication, customer service, and problem-solving skills
- Ability to manage difficult financial conversations with professionalism and empathy
- Comfortable working independently in a remote environment
- Ability to maintain a private, HIPAA-compliant workspace
Preferred Qualifications:
- Experience with NextTech or NextGen
- Retina injectable medication billing experience
- Experience working with Medicare-heavy patient populations
- Background in ophthalmology or specialty physician practice collections
Ideal Candidate
We are looking for someone who understands that successful patient collections start with compassion and education.
Many patients are managing ongoing retina treatments and may have questions or concerns about their medical expenses.
The strongest candidates will be:
- Empathetic and patient-focused
- Confident explaining insurance benefits and patient balances
- Comfortable discussing payment options and resolving financial concerns
- Experienced with retina billing and reimbursement
- Self-motivated and productive while working remotely
- Organized and detail-oriented
- Comfortable having sensitive or difficult financial conversations
Training & Work Environment
- Fully remote position
- Two weeks of initial systems and process training
- Opportunity to join a growing Revenue Cycle team
- High-volume, patient-focused collections environment
- Productivity expectations include approximately 50 accounts per day
- Independent work environment with team support
Addison Group is an Equal Opportunity Employer. Addison Group provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. Addison Group complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. Reasonable accommodation is available for qualified individuals with disabilities, upon request.
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