Call Centre Representative (U.S. Medical Billing Collections) - EST Hrs (Remote)

Position Overview

• Location Type: Remote
• Job Type: Not specified
• Salary: Not specified
• Company: ISTA Personnel Solutions South Africa, a global BPO company partnering with a U.S.A Medical Billing Company.
• Role: Experienced Call Centre Representative specializing in Medical Billing Collections.
• Focus: Handling U.S. healthcare insurances (e.g., Medicare, Medicaid), understanding US healthcare and billing terms, and demonstrating professionalism and empathy in patient interactions.

Requirements

• Communication Skills: Exceptional English communication skills (comprehension, fluency, etc.).
• Experience: Customer Service experience with a collections background.
• Technical Skills: Proficient in MS Office (Word) and Outlook.
• Work Ethic: Strong work ethic.
• Learning Ability: Ability to learn quickly.
• Problem-Solving: Excellent problem-solving abilities.

Responsibilities

• Patient Payment Collection: Follow up with patients to collect payments, establish payment plans, and resolve billing inquiries.
• Claims Review and Billing: Review Explanation of Benefits (EOBs), identify errors, and collaborate with insurance providers to resolve claim issues.
• System Management: Utilize billing systems to update records, track payments, and document interactions.
• AR Reduction: Focus on reducing Accounts Receivable (AR) by achieving collection targets and analyzing aging reports.
• Metrics and Compliance: Meet client-defined benchmarks and ensure adherence to HIPAA regulations.
• Client Communication: Provide regular updates on collection progress and discuss performance metrics with the client.
• Problem Resolution: Escalate complex issues and propose solutions to improve collection efficiency.

Additional Details

• Working Hours: EST hours, Monday - Friday, 9:00 AM to 6:00 PM EST (15:00 PM to 24:00 PM South African time - subject to change).
• Work Environment: Remote role for South African Citizens only.
• Internet Requirements: A fixed fibre line with a minimum speed of 25 Mbps (upload & download) and the capability to support a wired Ethernet connection is mandatory.
• Power Backup: A reliable power backup solution is required to manage load shedding and power outages.
• Published Date: 2025-03-25
• Department: SA - Operations
• Language: English (en)
• Remote: Yes

Application Instructions

• Mandatory Requirements: Applicants must possess a fixed fibre line and a power backup solution. Applications without these will not be considered.
• Unsuccessful Applications: If you do not receive a response within 14 working days, please assume your application has been unsuccessful.