USA Medical Billing Collections - EST hours (Remote)

ISTA Solutions; Johannesburg; Remote; ZAR 25 000 - 45 000; Full time

Job summary

An innovative global BPO company is seeking a skilled Medical Billing Collections Specialist to join their dynamic team. This remote role focuses on managing U.S. healthcare billing processes, requiring a strong understanding of billing terms and exceptional customer service skills. You will engage directly with patients, ensuring timely payments and addressing inquiries with professionalism and empathy. If you are a quick learner with a strong work ethic and problem-solving abilities, this opportunity offers you a chance to make a significant impact in the healthcare billing sector while working from the comfort of your home.

Qualifications

• Exceptional English communication skills are essential for patient interactions.
• Experience in customer service with a focus on collections is required.

Responsibilities

• Follow up with patients to collect payments and resolve billing inquiries.
• Review claims and work with insurance providers to resolve issues.
• Maintain accurate census data for patient admissions and discharges.

Skills

English Communication Skills

Customer Service

Collections Background

Problem-Solving Abilities

MS Office (Word)

Job description

ISTA Personnel Solutions South Africa

is a global BPO company partnering with a U.S.A Medical Billing Company. We are looking for an experienced Medical Billing Collections specialist, specifically handling U.S. healthcare insurances such as Medicare, Medicaid, etc.

To excel in this role, a strong understanding of US healthcare, billing terms, and processes is essential. As a customer-facing position, it also demands professionalism and empathy in all patient interactions.

PLEASE NOTE THE FOLLOWING:

• Working Hours: This role requires you to work EST hours, Mon - Fri, from 9am to 6pm EST (15:00 to 24:00 South African time). This may change depending on daylight savings and operational needs.
• Work Environment: This is a remote role for South African Citizens only.
• Internet Requirements: A fixed fibre line with a minimum speed of 25 Mbps (upload & download) and the ability to support a wired Ethernet connection are mandatory. Applicants without a fixed fibre line cannot be considered.
• Power Backup: A reliable power backup solution is required to manage load shedding and power outages. Applicants without a power backup cannot be considered.

Responsibilities:

• Patient Payment Collection - Follow up with patients to collect payments, establish payment plans, and resolve billing inquiries.
• Claims Review and Billing - Review EOBs, identify errors, and work with insurance providers to resolve claim issues.
• Verification of Benefits - Confirm and validate patient eligibility and coverage details with insurance providers.
• Census Management - Maintain accurate census data to track patient admissions and discharges.
• Medicaid Processing - Handle Medicaid billing, submissions, and follow-ups to ensure compliance and timely reimbursement.
• Cash Posting - Post and reconcile patient payments and insurance remittances accurately.
• Billing - Prepare and submit billing statements to insurance providers, ensuring compliance.
• Claims Tracking - Monitor submitted claims and follow up on denials or discrepancies.
• Aging Analysis - Manage aging reports to identify overdue accounts and implement follow-up strategies.
• Bank Reconciliation - Reconcile daily financial transactions and resolve discrepancies.
• Back Office Support - Manage documents received from third parties for proper record-keeping and compliance.
• System Management - Use billing systems to update records and track payments.
• AR Reduction - Lower Accounts Receivable by meeting collection targets and analyzing aging reports.
• Metrics and Compliance - Meet benchmarks and ensure HIPAA compliance.
• Client Communication - Provide updates on collection progress and discuss performance metrics.
• Problem Resolution - Escalate complex issues and suggest improvements.

Requirements:

• Exceptional English communication skills (comprehension, fluency, etc.)
• Customer Service experience with a collections background
• Skilled in MS Office (Word) and Outlook
• Strong work ethic
• A fast learner
• Excellent problem-solving abilities

If you are not contacted within 14 working days, please consider your application unsuccessful.