Billing and Collection Specialist

The Billing and Collection Specialist supports remote revenue cycle operations for US Fertility/Ovation by managing patient billing, collections, payment posting, credit balances, refunds, adjustments, bad debt processing, and accounts receivable follow-up. This role requires daily balancing, accurate account documentation, review of aging reports, and consistent communication with patients, coworkers, supervisors, and internal teams.

This position is remote, but it includes a strong patient-facing collections component. The specialist responds to emails, voice messages, and incoming calls, follows up with patients, sends demand letters, works past-due accounts, and supports patient payment resolution. Experience with medical software, Excel, collections workflows, patient accounts, and healthcare billing is important.

### Key Responsibilities

* Respond to patient and internal inquiries within 24–48 hours
* Answer incoming calls and follow up with patients as needed
* Process and post credit card payments
* Review patient balances, payments, adjustments, and credits for accuracy
* Use reports to identify patient balances and unapplied credits
* Contact patients to collect payment
* Work past-due accounts using a collection module or spreadsheet
* Apply credit money to open encounters as appropriate
* Research account credits and create refund tasks
* Apply adjustments using accurate adjustment codes and backup documentation
* Process NSF checks and chargebacks according to policy
* Post monthly collection checks
* Prelist accounts for collections
* Email provider collection write-off requests
* Process accounts to bad debt using NextGen
* Generate and send demand for payment letters
* Balance assigned work daily
* Document accounts accurately in Artworks and NextGen
* Review monthly accounts receivable aging reports for accounts over 90 days
* Prepare collection accounts for supervisor review
* Follow FDCPA requirements and internal financial program guidelines
* Support team members and complete additional duties as assigned

### Requirements

* Associate degree in accounting or business preferred
* High School Diploma acceptable with appropriate hands-on experience
* Minimum 2 years of experience with an associate degree, or minimum 5 years of experience without an associate degree
* Medical software program experience required
* Microsoft Excel experience required
* Knowledge of office procedures and office equipment
* Ability to access, input, and retrieve information from a computer
* Strong communication and interpersonal skills
* Good judgment and ability to remain calm under stress
* Ability to communicate accurately and concisely
* Strong attention to detail and accountability

### Benefits

* Medical, dental, and vision insurance for full-time employees
* 401(k) with company match
* Tuition assistance and professional development support
* Performance-based bonus opportunities
* Paid time off and paid holidays
* Paid parental leave
* Life and disability benefits
* Fertility discount program
* Employee wellness and recognition programs

### Good Fit For

This role may be a strong fit for candidates with experience in medical billing, patient collections, accounts receivable, payment posting, healthcare revenue cycle, patient accounts, credit balance review, refund processing, bad debt workflows, chargebacks, NSF checks, Excel reporting, NextGen, Artworks, or fertility practice billing.