1

Medical Collections Representative Jobs in Texas

As a Medical Billing and Collections Representative, you'll play a key role in resolving patient accounts quickly and respectfully, offering payment solutions, and working with insurance companies.

Auto Collections Representative

Arlington, TX ยท On-site

$16 - $20.75/hr

Medical, Dental, Vision, and Life Insurance * Short- and Long-Term Disability * 401(k) with company ... Collections Representative may be assigned to early-stage (front-end) or late-stage (back-end) ...

Medical, Dental, Vision, and Life Insurance * Short- and Long-Term Disability * 401(k) with company ... Collections Representative may be assigned to early-stage (front-end) or late-stage (back-end) ...

Collections Representative

Grapevine, TX ยท On-site

$20 - $24/hr

Contact delinquent customers and make collection calls in a fast-paced goal-oriented collections ... Up to 80% Employer-Paid Premiums for Medical, Dental and Vision Insurance * Long-term Disability ...

Collections Representative

Grapevine, TX ยท On-site

$20 - $24/hr

Contact delinquent customers and make collection calls in a fast-paced goal-oriented collections ... Up to 80% Employer-Paid Premiums for Medical, Dental and Vision Insurance * Long-term Disability ...

next page

Showing results 1-20

Medical Collections Representative information

See Texas salary details

$9

$16

$21

How much do medical collections representative jobs pay per hour?

As of Aug 11, 2026, the average hourly pay for medical collections representative in Texas is $16.90, according to ZipRecruiter salary data. Most workers in this role earn between $15.24 and $18.80 per hour, depending on experience, location, and employer.

What does a medical collections representative do?

A Medical Collections Representative is responsible for contacting patients and insurance companies to collect outstanding medical bills. They review patient accounts, verify insurance coverage, and negotiate payment arrangements when necessary. Additionally, they may resolve billing discrepancies, answer questions about account balances, and update records to ensure accurate financial documentation. Their work helps healthcare providers maintain financial stability by ensuring timely payments.

What is the difference between Medical Collections Representative vs Medical Billing Specialist?

AspectMedical Collections RepresentativeMedical Billing Specialist
CredentialsHigh school diploma; certifications like Certified Medical Collections Specialist (CMCS) are a plusHigh school diploma; certifications like Certified Medical Billing Specialist (CMBS) are common
Work EnvironmentHealthcare offices, hospitals, or billing companiesHealthcare facilities, billing companies, or independent practices
Employer & Industry UsageUsed by healthcare providers to recover unpaid bills
Search & Comparison IntentPeople compare to understand debt collection roles in healthcarePeople compare to understand billing and coding roles

The Medical Collections Representative focuses on recovering unpaid medical debts by contacting patients and insurance companies, while the Medical Billing Specialist handles the preparation and submission of billing claims. Both roles require knowledge of healthcare billing processes, but their primary functions differ: one emphasizes collections, the other billing and coding.

How to become a medical collections representative?

To become a medical collections representative, candidates typically need a high school diploma or equivalent, along with strong communication and negotiation skills. Relevant experience in healthcare billing, coding, or collections is beneficial, and familiarity with medical billing software can improve job prospects. Some employers may require certification in medical billing or collections, which can be obtained through specialized training programs.

What are the key skills and qualifications needed to thrive as a medical collections representative?

To thrive as a Medical Collections Representative, you need a solid understanding of medical billing, insurance processes, and accounts receivable management, often supported by a high school diploma or equivalent. Familiarity with billing software, electronic health record (EHR) systems, and coding systems like ICD-10 and CPT is typically required. Strong negotiation, communication, and problem-solving skills help you effectively resolve patient balances and navigate sensitive financial discussions. These skills are crucial for maximizing collections, ensuring compliance, and maintaining positive patient relationships in a healthcare setting.

What are some common challenges faced by medical collections representatives, and how can they be managed effectively?

Medical Collections Representatives often encounter challenges such as communicating with patients who are experiencing financial hardship, navigating complex insurance claims, and staying updated on changing healthcare regulations. Successfully managing these challenges requires strong interpersonal skills, attention to detail, and a thorough understanding of billing procedures. Building rapport with patients, maintaining professionalism, and collaborating closely with billing teams and insurance companies can help resolve issues promptly and ensure accurate collections.
What are popular job titles related to Medical Collections Representative jobs in TX? For Medical Collections Representative jobs in TX, the most frequently searched job titles are:
Infographic showing various Medical Collections Representative job openings in Texas as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 13% Part Time, and 5% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $35,160 per year, or $16.9 per hour.

Medical Collections Representative

Peyton Resource Group (PRG)

San Antonio, TX โ€ข On-site

$20 - $21/hr

Full-time

Medical, Dental, Vision, Life

Re-posted 18 days ago


Job description

Our medical client is seeking an experienced Billing and Collections Specialist to support the financial success of the facility through accurate and efficient revenue cycle management. This role plays a vital part in billing, claims processing, reimbursement, and patient financial communication. The ideal candidate brings strong healthcare business office knowledge and thrives in a fast-paced, service-driven environment.


Key Responsibilities

  • Ensure accurate and timely billing of facility claims across all payer types and admission sources.
  • Audit claims for correct coding, documentation, and authorization prior to submission.
  • Complete all required claim edits and submit clean claims to the clearinghouse.
  • Monitor daily clearinghouse activity, claim holds, and payer websites for updates.
  • Interpret payer contracts to confirm reimbursement aligns with contracted rates.

Qualifications

  • Minimum 2 years of healthcare/medical experience (billing and collections).
  • Strong verbal and written communication skills.
  • Ability to work professionally with patients, payers, and internal departments.
  • Proficiency with Microsoft Office, patient accounting systems, and basic math.
  • Familiarity with medical terminology and payer requirements.

Company Description

Who We Are:
Peyton Resource Group (PRG) has a 20-year track record of delivering real results for our clients. With offices in Dallas, San Antonio and Austin, PRG is an innovative industry leader utilizing the latest technology to drastically reduce the time-to-hire problem plaguing most companies today.
What We Do: We innovate. We understand. We collaborate. We move forward. We get IT done.

How We Do It:
We partner with world-class organizations that offer exciting career paths to their employees.
We cultivate relationships with the best and brightest talent in the marketplace.
We leverage technology in a way that is helping to redefine the staffing industry.
Our Results: We solve today's critical staffing challenges, while delivering best-of-class professionals to our clients.