About this role
Role Overview
The Collections Specialist will support the US Government Services programs. This role focuses on processing and collecting cost-share and deductible amounts owed by members after insurance reimbursements. The ideal candidate will handle member outreach, track payment activities, ensure regulatory compliance, and apply established cost-recovery protocols.
Candidate Qualifications
- Experience: Minimum of 2+ years of experience in Collections, Accounts Receivable, or Billing (preferably within healthcare or financial sectors).
- Education: A Graduate of bachelor's degree (4 years course)
- Technical & Compliance Skills: Proficient in MS Office (Excel, Word, Outlook). Familiarity with PCI/NACHA regulations or US medical billing/administration is a strong plus.
- Core Competencies: Strong attention to detail, financial reconciliation skills, proactive problem-solving, and ability to work under tight timelines.
- Language: Fluent in written and spoken English. Knowledgeable in Japanese language is an advantage.
Key Responsibilities
- Collections & Outreach: Review reimbursement breakdowns, identify outstanding member balances, and initiate calls or send secure payment links (via PayTrace).
- Case Tracking & Documentation: Record and track all member interactions in designated databases, following standard follow-up timelines and protocols.
- Customer Support: Answer incoming collection-related calls and emails to assist members with payment settlements.
- Compliance: Maintain strict adherence to HIPAA and PCI standards to protect sensitive health and financial data.
- Team Collaboration : Work closely with cross-functional teams (Operations Managers, Carrier Billing, and US AR teams) and participate in process-improvement initiatives.
Work Arrangement
- 5 days onsite; office is located in Ortigas, Philippines
- Morning Shift (subject to change depending on operational need)