Remote Medical Billing Collections Specialist (EST Hours)

ISTA Solutions; Johannesburg; Remote; ZAR 50 000 - 200 000; Full time

Job summary

A global BPO company is seeking an experienced Medical Billing Collections specialist in Johannesburg to handle U.S. healthcare insurances. The role demands strong communication skills and an understanding of billing processes. As a remote position, candidates must meet specific internet and power requirements. Responsibilities include collection follow-ups, claims review, and patient data management. Candidates should have a collections background and be proficient in MS Office.

Qualifications

• Understanding of US healthcare billing terms and processes.
• Customer-facing experience requires professionalism and empathy.

Responsibilities

• Follow up with patients to collect payments, establish plans.
• Review exclusion of benefits and resolve claim issues.
• Confirm patient eligibility and coverage details.
• Maintain accurate census data for admissions.
• Handle Medicaid billing and submissions.
• Post and reconcile patient payments and insurance remittances.
• Prepare and submit billing statements ensuring compliance.
• Monitor status of claims and follow up as needed.
• Analyze aging reports and identify overdue accounts.
• Reconcile daily financial transactions.
• Manage documents for proper compliance.
• Update billing systems and document interactions.
• Lower Accounts Receivable by meeting collection targets.
• Ensure compliance with HIPAA regulations.
• Provide updates on collection progress to clients.
• Escalate complex issues and suggest improvements.

Skills

Exceptional English communication skills

Customer Service with a collections background

Skilled in MS Office (Word) and Outlook

Strong work ethic

A fast learner

Excellent problem-solving abilities

Job description

A global BPO company is seeking an experienced Medical Billing Collections specialist in Johannesburg to handle U.S. healthcare insurances. The role demands strong communication skills and an understanding of billing processes. As a remote position, candidates must meet specific internet and power requirements. Responsibilities include collection follow-ups, claims review, and patient data management. Candidates should have a collections background and be proficient in MS Office.