Patient Collections Account Representative – In-Network & Out-of-Network (Remote, Full Time)

Adelfi Medical Billing Solutions is a fully remote revenue cycle management firm serving 60+ healthcare practices across New York and New Jersey. We’re looking for a confident, organized, and tech-savvy Patient Collections Account Representative to focus on resolving outstanding patient balances for one of our largest multi-specialty clients.

This is a phone-heavy role for someone who is comfortable having direct conversations about money and stays professional and empathetic under pressure. You should take pride in hitting collection goals and enjoy using technology, including AI, to work smarter. What You’ll Do Make outbound calls to patients with outstanding balances, both in-network and out-of-network, and take inbound calls about patient statements.

Explain balances clearly, including deductibles, coinsurance, copays, and non-covered services, and walk patients through their explanation of benefits. Prepare and send demand letters for overdue balances, including paid-to-patient recovery letters when an insurer sent the provider’s payment directly to the patient. Recover out-of-network payments that patients received from their insurance and did not forward to the practice.

Set up payment plans and take payments according to client and company policy. Work patient AR aging reports by dollar amount and age, and follow up consistently until each account is resolved. Document every call, letter, and payment arrangement accurately in the practice management system. Identify accounts that need insurance review first, such as claims that may have been processed incorrectly, and route them to the billing team.

Apply No Surprises Act patient protections correctly, making sure patients are not billed for amounts beyond their in-network cost-sharing when the law protects them. Recommend accounts for escalation or outside collections according to client policy. Track and report your collections, payment plans, and recovered dollars against weekly and monthly goals.

Use AI tools to work faster and smarter, such as drafting letters, organizing account notes, and spotting trends in patient balances. Build Excel trackers and PowerPoint summaries to report collection results to leadership and the client. Protect patient information and follow HIPAA in every interaction.

Requirements

2+ years of medical patient collections or patient AR experience. Experience collecting patient balances for both in-network and out-of-network services. Ability to read EOBs and explain patient responsibility in plain language. Comfortable making a high volume of outbound calls every day. Experience writing and sending demand or collection letters.

Experience setting up and managing payment plans. Strong, professional phone presence: firm but respectful, with patients who may be upset or confused. Tech-savvy and quick to learn new systems and software. Hands-on experience using AI tools (such as ChatGPT, Claude, or Copilot) in daily work. Strong Excel skills, including sorting, filtering, formulas, pivot tables, and building trackers.

Proficiency in PowerPoint for creating clear, professional reports and presentations. Highly organized, with accurate account notes and follow-up. Reliable internet, a quiet and private HIPAA-compliant workspace, and a headset. Preferred Bilingual in English and Spanish. Experience recovering paid-to-patient out-of-network payments.

eClinicalWorks (ECW) experience. Experience with multi-specialty or surgical practices. Schedule & Compensation Full time, Monday through Friday $21–$25/hour, based on experience, plus a performance bonus Medical, dental, and vision benefits 401(k) Paid time off (PTO) Fully remote To Apply Submit your resume along with a brief summary that includes: Your patient collections experience, including the types of practices you’ve collected for and one result you’re proud of, such as dollars recovered or a collection rate improvement.

One example of how you’ve used AI or Excel to improve your work.