MEDICAL COLLECTOR

Nexgenhiringexperts; Bengaluru; Remote; INR 600,000 - 800,000; Full time

Job summary

A healthcare service provider is seeking a full-time Insurance Claims Revenue Specialist for a multi-specialty Ambulatory Surgery Center (ASC). The role involves medical billing expertise, managing insurance claims, and working flexibly in alignment with U.S. timings. Ideal candidates will have strong knowledge of medical billing processes and experience with HST software, along with excellent analytical and communication skills.

Qualifications

• Hands-on experience with HST and ECW software is mandatory.
• Familiarity with Availity, Waystar, and Optum platforms is highly favorable.

Responsibilities

• Prepare and submit patient bills for insurance and private pay.
• Research and contact clients/patients to resolve overdue bills.
• Liaise with insurance companies to track claims status and investigate denials.
• Negotiate payment plans with patients facing financial challenges.
• Adhere to quality and compliance standards in medical billing processes.

Skills

Strong analytical and problem-solving abilities

Proficient in medical billing

Excellent communication and negotiation skills

Ability to work in a U.S. time zone

Tools

HST and ECW software

Availity

Waystar

Optum

Job description

Department: Knowledge Process Outsourcing (KPO)

Location: Remote / Bangalore (as applicable)

Working Hours: Aligning with U.S. work timings to ensure collaboration with insurance companies and U.S. staff.

Job Overview

We are seeking a full-time Insurance Claims Revenue Specialist for a multi-specialty Ambulatory Surgery Center (ASC). The ideal candidate should possess strong knowledge of medical billing and insurance claim processes. Familiarity with platforms such as Availity, Waystar, Optum, and HST/ECW software is preferred.

Key Responsibilities

• Prepare and submit patient bills for insurance and private pay.
• Research and contact clients/patients to resolve overdue bills and accounts.
• Liaise with insurance companies to track the status of submitted claims and investigate denials.
• Review posted payments to ensure accuracy and completeness.
• Negotiate payment plans with patients facing financial challenges.
• Maintain and update billing data and medical claims in line with insurance requirements.
• Resolve financial discrepancies and monitor missed payments.
• Manage and update billing software, including cash spreadsheets, rate changes, and collection reports.
• Adhere to quality and compliance standards in medical billing processes.
• Escalate cases to legal authorities when necessary for non-payment issues.

Qualifications & Skills

• Experience:
  • Hands-on experience with HST and ECW software is mandatory.
  • Familiar Availity, Waystar, and Optum platforms is highly favorable.
• Skills:
  • Strong analytical and problem-solving abilities.
  • Proficient in medical billing and claims processes.
  • Excellent communication and negotiation skills.
  • Ability to work in a U.S. time zone.

Highlights

• Knowledge of medical billing platforms and software is essential.
• Working hours require flexibility to align with U.S. timings.
• Candidates must demonstrate expertise in managing insurance claims and resolving billing issues effectively.

Application Process

Interested candidates should send their profiles to: