Healthcare Accounts Receivable Specialist - Spanish Bilingual

Join Hampton Healthcare as Spanish Bilingual Healthcare Accounts Receivable Specialist

Hampton Healthcare is focused on providing high-quality onshore and offshore staffing solutions for healthcare organizations and practices across the U.S. My mission is simple: to connect healthcare businesses with top talent while improving efficiency, lowering costs, and enhancing patient care.

We are seeking a Spanish Bilingual Healthcare Accounts Receivable/Collections Specialist with strong experience in medical billing and claims resolution. This role is responsible for managing the full cycle of healthcare receivables, including collections, denial management, payment posting, and payer communication. The ideal candidate has a deep understanding of the U.S. healthcare revenue cycle, particularly in insurance (payer) follow-up and dispute resolution, and is proficient with EXPERITY system.

Key Responsibilities:

• Review insurance contracts to identify and resolve payment disputes.

• Work on the provider side to verify claim status and collect unpaid insurance claims.

• Handle claims processing, denials, appeals, and ensure timely reimbursement.

• Monitor and manage outstanding balances for healthcare claims.

• Communicate with insurance companies to follow up on unpaid or underpaid claims.

• Interact with customers to verify invoice accuracy and resolve discrepancies.

• Assist in developing and improving policies, systems, and procedures related to collections.

• Educate patients or clients on online tools for claims and payments.

• Reconcile invoices and coordinate with the accounts receivable team.

• Conduct audits and quality assurance checks on collection activities.

• Handle administrative tasks such as document filing, email management, and inbound/outbound calls related to account processes.

Requirements

• Bachelor's Degree in any related field.

• Fluency in Spanish and English (verbal and written) is required.

• Minimum of 3 years' experience in a Healthcare Accounts Receivable/Collections role within a BPO setting.

• Strong background in medical billing and AR collections.

• Experience in calling insurance payers for claim status and payment disputes.

• Familiarity with EXPERITY system is highly preferred.

• Strong communication, analytical, and problem-solving skills.

• Ability to work independently and manage multiple priorities in a fast-paced environment.

Hardware Requirements

• 720p HD webcam

• Noise-canceling headset

• Primary internet connection with a minimum speed of 25 Mbps

• Backup laptop, internet source, and UPS or backup power solution

• Primary device recommendation: Intel Core i5 or equivalent with 8 GB RAM or higher

• Backup device recommendation: Intel Core i3 or equivalent with at least 4 GB RAM

Benefits

Why Hampton-Healthcare?

• 100% Permanent Work-from-Home

• Supportive, high-performing team culture

• Long-term career stability and growth opportunities

• Be part of a company that values people, performance, and purpose