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

• Email : nexgenhiringexperts@gmail.com
• Phone : 9908919520

We look forward to hearing from you!