Collection Specialist

Collection Specialist will communicate with US healthcare stakeholders and handle all unresolved claims inquiries and/or issues over a call and are responsible for following company collection policies and procedures.  Collection Specialist may also work with outside agencies, vendors, and clients to maintain the company’s payments.  All the necessary training related to payment processing and other functions required for the role will be provided.

Roles & Responsibilities  

• Complete payment processes timely and accurately according to industry best practices and pre-defined standards
• Analyze and properly resolve assigned claims in a timely manner
• Communicate with physician’s offices, patients, and management to achieve resolution of issues and claims status
• Accurately verify insurance benefits related to claims
• Ensure insurance benefits are updated
• Process required adjustments on the claims according to department protocol
• Properly appeal claims as needed
• Obtain medical records and other documents from appropriate resources as needed for claims payment
• Other tasks as assigned by management

  Other Specification

  • Bachelor’s degree in any field
  • Demonstrated proficiency with Microsoft Word, Outlook, and Excel
  • Excellent verbal and written English communication skills
  • Knowledge of US healthcare will be an added advantage
  • Excellent organizational skills and the ability to multitask
  • Ability to work well under pressure and have an ability to prioritize and meet deadlines
  • Possess a positive attitude and a willingness to learn
  • Ability to work with both internal and external customers in a team atmosphere
  • Self-motivated
  • Ability and willingness to work during the night shift