Postes à Soweto, Afrique du Sud

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.

• 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.

• 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.

• 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.