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USA Medical Billing Collections - EST hours (Remote)

ISTA Solutions
Johannesburg
À distance
ZAR 25 000 - 45 000
Description du poste
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.

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* Le salaire de référence se base sur les salaires cibles des leaders du marché dans leurs secteurs correspondants. Il vise à servir de guide pour aider les membres Premium à évaluer les postes vacants et contribuer aux négociations salariales. Le salaire de référence n’est pas fourni directement par l’entreprise et peut pourrait être beaucoup plus élevé ou plus bas.

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