Call Center Representative

Summary

Join ISTA Personnel Solutions South Africa, a global BPO company, as a Call Centre Representative specializing in Medical Billing Collections for a U.S.A. Medical Billing Company. This remote role, open to South African citizens only, requires expertise in handling U.S. healthcare insurances (Medicare, Medicaid, etc.). Success demands a strong understanding of US healthcare, billing, and processes, along with excellent customer service skills. The position involves working EST hours (9 am to 6 pm) and requires a fixed fibre line internet connection (minimum 25 Mbps) and a reliable power backup solution. If you are not contacted within 14 working days, please consider your application unsuccessful.

Requirements

• Possess exceptional English communication skills (comprehension, fluency etc.)
• Have customer service experience with a collections background
• Be skilled in MS Office (Word) and Outlook
• Demonstrate a strong work ethic
• Be a fast learner
• Possess excellent problem-solving abilities
• Have a fixed fibre line with a minimum speed of 25 Mbps (upload & download) and the ability to support a wired Ethernet connection
• Have a reliable power backup solution

Responsibilities

• Patient Payment Collection – Follow up with patients to collect payments, establish payment plans, and resolve billing inquiries
• Claims Review and Billing – Review EOBs, identify errors, and work with insurance providers to resolve claim issues
• 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