Collections Specialist - US Healthcare

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

Review reimbursement breakdowns, identify outstanding member balances, and initiate calls or send secure payment links (via Pay. Trace). 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)