USA Medical Billing Collections - EST hours (Remote)

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

Job summary

A global BPO company is looking for an experienced Medical Billing Collections professional to handle U.S. healthcare insurances. This remote role requires excellent English communication skills and a background in customer service with collections. Responsibilities include following up with patients for payments, resolving billing inquiries, and processing claims. Ideal candidates should be skilled in MS Office and possess excellent problem-solving abilities.

Qualifications

• Exceptional communication skills in English, both written and verbal.
• Experience in customer service and collections is required.
• Proficiency in MS Office is essential.

Responsibilities

• Follow up with patients to collect payments and resolve inquiries.
• Review claims and work with insurance providers to resolve issues.
• Maintain accurate patient admission records and billing statements.

Skills

Exceptional English communication skills

Customer Service with a collections background

Skilled in MS Office (Word) and Outlook

Strong work ethic

Excellent problem-solving abilities

Job description

Overview

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, 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.

Notes

• Working Hours: This role requires you to work EST hours, Mon - Fri, from 9am to 6pm EST time (15h00pm to 24h00am South African time - subject to change depending on daylight savings and/or the operational requirements of the Company)
• Work Environment: This is a fully remote working role.
• Internet Requirements: A fixed fibre line with a minimum speed of 25 Mbps (upload & download) and the ability to support a wired Ethernet connection is 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 exclusion of benefits (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 and up-to-date 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 - Accurately post and reconcile patient payments and insurance remittances.
• Billing - Prepare and submit billing statements to insurance providers, ensuring compliance with billing guidelines.
• Claims Tracking - Monitor the status of submitted claims and follow up with insurance providers on denials or discrepancies.
• Aging Analysis - Analyze and manage aging reports to identify overdue accounts and implement follow-up strategies.
• Bank Reconciliation - Reconcile daily financial transactions and resolve discrepancies between payments and records.
• Back Office Support - Save and manage documents received from third parties to ensure proper record-keeping and compliance
• System Management - Use billing systems to update records, track payments, and document interactions.
• AR Reduction - Focus on lowering Accounts Receivable (AR) by meeting collection targets and analyzing aging reports.
• Metrics and Compliance - Meet client-defined benchmarks and ensure compliance with HIPAA regulations.
• Client Communication - Provide regular updates on collection progress and discuss performance metrics with the client.
• Problem Resolution - Escalate complex issues and suggest improvements to enhance collection efficiency

Requirements

• Exceptional English communication skills (comprehension, fluency etc.);
• Customer Service 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.