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USA Medical Billing Collections - EST hours (Remote) at ISTA Personnel Solutions. 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.. . 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. . Company Location: South Africa.