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 xe2x80x93 Follow up with patients to collect payments, establish payment plans, and resolve billing inquiries.
• Claims Review and Billing xe2x80x93 Review EOBs, identify errors, and work with insurance providers to resolve claim issues.
• System Management xe2x80x93 Use billing systems to update records, track payments, and document interactions.
• AR Reduction xe2x80x93 Focus on lowering Accounts Receivable (AR) by meeting collection targets and analyzing aging reports.
• Metrics and Compliance xe2x80x93 Meet client-defined benchmarks and ensure compliance with HIPAA regulations.
• Client Communication xe2x80x93 Provide regular updates on collection progress and discuss performance metrics with the client.
• Problem Resolution xe2x80x93 Escalate complex issues and suggest improvements to enhance collection efficiency.

RequirementsWhat 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.

ISTA Personnel Solutions