? We're Hiring: Collections Specialist! ?

The Healthcare Collection Specialist is responsible for managing accounts receivable (AR), following up on unpaid or denied medical claims with insurance companies, and contacting patients regarding self-pay balances, deductibles, or cost-share amounts. The goal is to maximize cash flow, reduce aging AR days, and resolve billing disputes while maintaining strict compliance with healthcare regulations.

? Location: Bangalore

⏰ Work Mode: Hybrid mode (6PM to 3AM)

? Role: Collections Specialist

What You'll Do

?Insurance Claim Follow-up:Conduct outbound calls, portal checks, and electronic inquiries with third-party insurance payers to check claim statuses and resolve unpaid claims.

?Denial & Rejection Management:Analyze claim denials, rejections, or partial payments, investigate root causes (e.g., coding, modifier, or policy issues), and re-submit or appeal claims in a timely manner.

?Patient & Self-Pay Collections:Contact patients regarding outstanding medical bills, co-pays, deductibles, or post-insurance balances via phone or email.

⏰Payment Negotiation:Discuss overdue accounts, negotiate manageable payment plans or settlement options, and secure "Promise to Pay" commitments.

?Account Reconciliation & Documentation:Maintain accurate, real-time notes of all collection activities, call outcomes, and transaction histories in the CRM, billing, or AR software.

?Reporting & Escalation:Generate aging reports, track daily collection targets, and escalate complex or disputed accounts to management or client teams.





✅Compliance:Ensure all daily operations adhere strictly to HIPAA patient confidentiality, FDCPA guidelines (where applicable), and payer-specific contracts.

What We're Looking For:

✅ Minimum 1–2+ years of experience in medical collections, US healthcare AR follow-up, or Revenue Cycle Management (RCM) in a BPO or provider-side setting.

✅ Experience working with third-party payers, such as VA, Medicaid, Medicare Advantage, and Workers’ Compensation.

✅ Understanding of Explanation of Benefits (EOBs), Electronic Health Records (EHR), and insurance claim lifecycles.

✅ Experience working with UB-04 and HCFA 1500 forms.

✅ Familiarity with Electronic Medical Record (EMR) systems and medical billing software.

✅ Proficiency in applications such as Epic, Cerner, and HubSpot.

Nice to have

✅ Knowledge of US healthcare regulations, including HIPAA, FDCPA, and PCI standards.

✅ Proficiency in using billing software (Clearinghouse), CRM platforms, and automated dialer systems.

✅ Robust understanding of healthcare billing codes, including CPT and ICD-10.

✅ Experience handling US provider-side or international healthcare accounts preferred.

✅ High attention to detail and ability to handle high-volume calls while meeting performance metrics.

✅ Proficiency in Microsoft Office (Excel, Word) and Google Workspace.

Educational qualification: Bachelor’s degree in Business, Finance, Healthcare Administration, or a related field.

Ready to make an impact? ? Apply now and let's grow together!

📌 Collections Specialist (Bangalore Urban)
🏢 Eastvantage
📍 Bangalore Urban