Account Collections Specialist

Account Collections Specialist
Location
: Clark

Work Arrangement
: Onsite, Fulltime

Shift
: 9:00 PM - 6:00 AM | Monday - Friday

Unlock your potential
At TOA Global, we have a deep commitment to empowering individuals to excel in their enterprises, careers, and communities. Our global footprint stretches across Australia, New Zealand, North America, and Philippines, supporting our global clients in the accounting industry.

About this role. . .

The Collection Specialist is responsible for managing and securing payment for ambulance and other services rendered by the ambulance company by coordinating with insurance providers, healthcare facilities, patients and other payor sources. This role ensures timely and accurate billing, claim submission, and follow-up to maximize revenue and maintain compliance with industry regulations.

Key Responsibilities:

* Insurance Coordination:

• Verify patient insurance coverage and eligibility for ambulance services.
• Submit claims to insurance companies promptly and accurately.
• Monitor claim status and follow up on unpaid or denied claims.
• Resolve discrepancies and appeal denied claims when necessary.

* Facility Communication:

• Liaise with hospitals, nursing homes, and other healthcare facilities to obtain necessary documentation for billing.
• Ensure accurate patient information and service details are recorded.
• Coordinate with facility billing departments to resolve outstanding balances.

* Patient Follow-Up:

• Contact patients regarding outstanding balances and explain billing details.
• Set up payment plans when appropriate and ensure compliance with company policies.
• Provide exceptional customer service while handling sensitive financial matters.

* Compliance & Documentation:

• Maintain accurate records of all communications, claims, and payments.
• Ensure compliance with HIPAA, state, and federal regulations.
• Stay updated on insurance policies, billing codes, and industry standards.

Qualifications / Skills:

• High school diploma or equivalent; associate degree in healthcare administration or related field preferred.
• Minimum 2 years of experience in medical billing, collections, or insurance follow-up (ambulance or EMS experience a plus).
• Strong knowledge of insurance claim processes, CPT/HCPCS codes, and medical terminology.
• Excellent communication, negotiation, and problem-solving skills.
• Proficiency in billing software and Microsoft Office Suite.
• Past patient collection experience
• Medical Billing/ Coding experience
• Ability to reach weekly measurable goal sets
• Clear communications skills
• Proficient knowledge of medical insurance and billing practices

WHAT'S IN IT FOR YOU?

• A competitive salary
• Health Insurance, and Life Insurance coverage
• 21 annual paid leaves
• Annual increase (Annual Performance Review)
• Tenure Recognition Program
• 20+ options of free coffee and chocolate drinks
• Billiards, table tennis, or foosball in our breakout room
• Work-life balance and logging off on time for you to enjoy more personal time.
• A genuinely diverse, caring, supportive and high achieving team environment.
• Ongoing training, development and career progression opportunities
• Free & conveniently located onsite parking.

We live by our
VALUES
to cultivate and foster growth and innovation.

BE AWESOME:
Exceptional individuals create collective genius. We celebrate success, reward outstanding performance, and make work fun by fostering a supportive and inspiring environment.

KEEP IT REAL:
We value honesty, accountability, and open communication. We own our actions, prioritize compassion, empathy, and understanding, and foster meaningful conversations.

BRING THE WOW:
We strive for excellence in everything we do. Going the extra mile is our standard, as we are committed to delivering outstanding results.

DREAM BIG:
We embrace a culture of continuous learning, exploration, and improvement. With ambitious goals, we constantly seek knowledge and self-improvement.

Join TOA Global and experience the difference

We passionately embrace diversity and inclusion in all aspects of our organization. We believe by fostering an environment that values and celebrates individuals from diverse backgrounds, we unlock innovation, drive creativity, and amplify our ability to serve our customers and communities with excellence.