Out-of-Pocket Collections Specialist

Job Description

Job Description

Out-of-Pocket Collections Specialist

Company: Quadrant Billing Solutions (QBS)

Location: Boca Raton, FL (on-site)

Pay range: $60,000 - $65,000 annually + Incentives (Based on Experience)

We deliver hands-on, process-driven operational support to behavioral health

programs. We’re hiring an Out-of-Pocket Collections Specialist to manage patient

financial responsibility and drive resolution of outstanding balances. This role focuses

on clear patient communication, consistent follow-up, and disciplined account

management to ensure balances are resolved efficiently.

This role is built for someone who communicates confidently, stays organized across

multiple accounts, and maintains persistence in follow-ups until balances are fully

resolved. Success in this role requires professionalism on the phone, strong

documentation habits, and the ability to handle payment conversations with clarity and

empathy.

This role is ideal for someone who thrives in structured workflows, maintains ownership

of their accounts, and is comfortable discussing financial responsibility with patients. If

you avoid phone conversations about payment, struggle with follow-through, or prefer

loosely structured work, this role is not a match.

What You’ll Do

Manage patient balance collections:

● Contact patients regarding outstanding balances and financial responsibility

● Clearly explain balances, payment expectations, and available payment options

● Collect payments via phone and assist patients with secure payment processing

● Ensure balances are addressed promptly to minimize aging accounts

Communicate directly with patients:

● Conduct outbound calls daily to resolve outstanding balances

● Answer patient questions regarding statements, balances, and payment options

● Maintain professionalism and empathy during financial conversations

● Build rapport while maintaining clear expectations around payment resolution

Maintain accurate documentation:

● Document all patient interactions clearly within billing systems/EMR

● Record payment arrangements, notes, and follow-up timelines

● Maintain structured, audit-ready account notes

● Ensure all financial communications are logged accurately

Manage follow-ups and payment plans:

● Track open balances and scheduled payment arrangements

● Maintain consistent follow-up until balances are resolved

● Monitor payment plans and ensure commitments are honored

● Escalate delinquent accounts when necessary

Support revenue cycle operations:

● Work closely with billing leadership to resolve account issues

● Identify trends or barriers preventing patient payment

● Communicate account concerns that may require escalation

● Contribute to improving collection processes through consistent execution

Escalate issues early:

● Flag disputed balances or unresolved billing concerns quickly

● Escalate accounts requiring leadership intervention

● Identify potential compliance or communication concerns early

● Support leadership by identifying issues before they impact collections

Requirements

Experience

● 1–3+ years in collections, patient financial services, medical billing, or revenue

cycle roles

● Experience managing outbound call volume and patient account follow-up

● Strong communication skills and ability to discuss financial responsibility

confidently

Education / Training

● High school diploma required; Bachelor’s preferred (or equivalent experience)

● Experience with EMR or medical billing systems preferred

● Understanding of patient financial responsibility and healthcare billing is a plus