Account Collections Specialist

TOA Global; Pampanga; On-site; PHP 391,000 - 614,000; Full time

Benefits offered by this job

Annual leave program

HMO & life insurance

Night shift premium

Onsite office Clark/Cebu/Manila/Tarlac

Career progression path

Job summary

TOA Global is seeking an empathetic Account Collections Specialist to oversee medical billing, insurance claim follow-ups, and patient payment collection for a US-based EMS provider. You will coordinate with insurers, hospitals, and patients to resolve denied claims and maximize revenue recovery in compliance with healthcare regulations.

The role requires US billing knowledge, HIPAA compliance, and strong English communication while meeting weekly collection targets.

Qualifications

• Minimum 2 years US medical billing experience.
• High School Diploma required; Associate Degree preferred.
• Knowledge of CPT, HCPCS, ICD-10, HIPAA.
• Excellent English communication and meticulous record-keeping.

Responsibilities

• Insurance Claim Management: Verify coverage, submit claims, track statuses, appeal denied claims.
• Healthcare Facility Coordination: Liaise with hospitals and care facilities for billing docs and logs.
• Patient Engagement & Collections: Contact patients, explain EOBs, arrange payment plans, meet weekly targets.
• Regulatory Compliance & Tracking: Document all communications and entries in billing systems per HIPAA and coding standards.

Skills

US medical billing

Revenue cycle mgmt

Insurance follow-up

Negotiation

Record-keeping

English communication

HIPAA compliance

Billing software

Education

High School Diploma

Associate Degree in Healthcare Administration

Tools

Microsoft Office

Electronic billing software

Job description

Location: Clark, Cebu, Manila, or Tarlac, Philippines
Work Arrangement: Onsite, Full-time
Shift: Monday - Friday | 9:00 PM - 6:00 AM PHT

Unlock Your Potential!

At TOA Global, we have a deep commitment to empowering individuals to excel in their enterprises, careers, and communities. Our global footprint stretches across Australia, New Zealand, North America, and the Philippines, supporting our global clients across the accounting, finance, and professional services industries.

We are seeking an empathetic, goal-driven Account Collections Specialist to oversee medical billing, insurance claim follow-ups, and patient payment collection for a US-based emergency medical services (EMS) and ambulance provider. You will coordinate with commercial insurers, healthcare facilities, and patients to resolve denied claims, manage payment arrangements, and ensure maximum revenue recovery in strict compliance with healthcare regulations.

Your Impact

• Insurance Claim Management: Verify patient coverage eligibility, submit claims accurately, track claim processing statuses, investigate unpaid or rejected filings, and file formal appeals for denied insurance claims.
• Healthcare Facility Coordination: Liaise directly with hospitals, nursing homes, and care facilities to secure required billing documentation, verify transport logs, and coordinate with facility billing departments to settle outstanding balances.
• Patient Engagement & Collections: Contact patients regarding outstanding balances, clearly explain insurance EOBs and invoice details, establish structured payment plans, and provide supportive customer service while hitting weekly collection benchmarks.
• Regulatory Compliance & Tracking: Document all communications, claims activity, and payment entries within billing systems-ensuring full compliance with HIPAA, US federal/state regulations, and coding standards.

What You Bring

• Education & Credentials: High School Diploma required; Associate Degree in Healthcare Administration, Business, or a related field is preferred.
• The Experience: Minimum 2 years of experience in US medical billing, collections, revenue cycle management, or insurance follow-up (prior experience in ambulance, EMS, or emergency transport billing is a strong plus).
• Technical Acumen: Strong working knowledge of US health insurance claim workflows, medical billing/coding terminology (CPT, HCPCS, ICD-10), HIPAA guidelines, and electronic billing software alongside Microsoft Office.
• Core Competencies: Strong negotiation and dispute resolution skills, ability to hit weekly quantitative performance goals, meticulous record-keeping habits, and superior spoken and written English communication.

Why You'll Love It Here

We believe in rewarding high achievers with a work environment that fuels both professional growth and personal well-being.

• Time for You: Enjoy 21 Total Annual Service Incentive Leaves, flexible to use for travel, emergencies, or anything you may need for your "Me time."
• Tenure Recognition Program: Celebrate your milestones with us; on your 2nd year, choose between a cash reward or one free HMO dependent.
• Health & Security: Comprehensive HMO and Life Insurance coverage from day one.
• Night Shift Advantage: Enjoy premium compensation and night differential while maintaining direct operational alignment with US healthcare teams.
• Collaborative Onsite Environment: Work alongside supportive colleagues and operational mentors in state-of-the-art office facilities in Clark, Cebu, Manila, or Tarlac.
• Healthcare Revenue Cycle Pathway: Expand your expertise in specialized US medical billing and insurance resolution, opening direct avenues toward Senior Collections Specialist, Revenue Cycle Analyst, and Billing Operations Supervisor roles.