Collections Specialist

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)