Offer summary

Qualifications:

Experience in Medical Billing Collections, particularly with U.S. healthcare insurances like Medicare and Medicaid., Exceptional English communication skills, both comprehension and fluency., Proficiency in MS Office (Word) and Outlook., Strong work ethic and excellent problem-solving abilities..

Key responsabilities:

Follow up with patients to collect payments and resolve billing inquiries.

Review EOBs, identify errors, and work with insurance providers to resolve claim issues.

Use billing systems to update records and track payments.

Provide regular updates on collection progress and ensure compliance with HIPAA regulations.

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 Call Centre Representative with expertise in 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.

PLEASE NOTE THE FOLLOWING:

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 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 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 EOBs, identify errors, and work with insurance providers to resolve claim issues.
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.