Job Openings MEDICAL COLLECTOR

About the job MEDICAL COLLECTOR

Job Title: Medical Collector

Department: Knowledge Process Outsourcing (KPO)

Domain: Healthcare Services

Location: Remote / Bangalore (as applicable)

Working Hours: Aligning with U.S. work timings to ensure collaboration with insurance companies and U.S. staff.

Job Overview

We are seeking a full-time Insurance Claims Revenue Specialist for a multi-specialty Ambulatory Surgery Center (ASC). The ideal candidate should possess strong knowledge of medical billing and insurance claim processes. Familiarity with platforms such as Availity, Waystar, Optum, and HST/ECW software is preferred.

Key Responsibilities

  • Prepare and submit patient bills for insurance and private pay.
  • Research and contact clients/patients to resolve overdue bills and accounts.
  • Liaise with insurance companies to track the status of submitted claims and investigate denials.
  • Review posted payments to ensure accuracy and completeness.
  • Negotiate payment plans with patients facing financial challenges.
  • Maintain and update billing data and medical claims in line with insurance requirements.
  • Resolve financial discrepancies and monitor missed payments.
  • Manage and update billing software, including cash spreadsheets, rate changes, and collection reports.
  • Adhere to quality and compliance standards in medical billing processes.
  • Escalate cases to legal authorities when necessary for non-payment issues.

Qualifications & Skills

  • Experience:

    • Hands-on experience with HST and ECW software is mandatory.
    • Familiarity with Availity, Waystar, and Optum platforms is highly favorable.
  • Skills:

    • Strong analytical and problem-solving abilities.
    • Proficient in medical billing and claims processes.
    • Excellent communication and negotiation skills.
    • Ability to work in a U.S. time zone.

Highlights

  • Knowledge of medical billing platforms and software is essential.
  • Working hours require flexibility to align with U.S. timings.
  • Candidates must demonstrate expertise in managing insurance claims and resolving billing issues effectively.

Application Process

Interested candidates should send their profiles to:

We look forward to hearing from you!




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