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USA Medical Billing Collections - EST hours (Remote)

USA Medical Billing Collections - EST hours (Remote)

ISTA Personnel SolutionsWestern Cape, ZA
30+ days ago
Job type
  • Remote
  • Quick Apply
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 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 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

    What we are looking for in a candidate :

  • 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.

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    Medical • Western Cape, ZA

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