Job Description

:
ISTA Personnel Solutions is a dynamic and fast-growing BPO company. We are not a recruitment agency - we operate as a dedicated extension of our clients' teams, delivering high-quality service with precision, efficiency, and a personal touch.
We are seeking a detail-oriented and tech-savvy Medical Accounts Receivable (AR) & Payment Posting Agent to support a U.S.-based healthcare administration client. This role offers exposure to the full AR lifecycle, from collections through to accurate payment posting, and is ideal for a professional who is confident, analytical, and comfortable working within healthcare and compliance-driven environments.
PLEASE NOTE:

• Working Hours: This role requires you to work EST hours, Monday - Friday, 9 AM - 6 PM EST (16:00 PM - 01:00 AM South African time; subject to change depending on daylight savings).
• Internet Requirements: A fixed fibre line with a minimum speed of 25 Mbps (upload & download) and the ability to support a wired Ethernet connection is mandatory. Applicants without a fixed fibre line cannot be considered.
• Power Backup: A reliable power backup solution is required to manage load shedding and power outages. Applicants without a power backup cannot be considered.
• Work Environment: This is a fully remote working role.
• Public Holidays: You will be required to work on all South African public holidays (compensated as per BCEA).

What You'll Do:

• Review and analyse aging reports to identify outstanding balances and follow up on accounts.
• Accurately post payments, adjustments, and write-offs in line with client and legal protocols.
• Follow up on coinsurance balances and support AR collections activities.
• Ensure all AR activity is documented accurately and maintained in compliance with internal and client standards.
• Collaborate with U.S.-based billing, finance, and operations teams.
• Apply sound judgment when making AR-related decisions and resolving discrepancies.

Requirements:

• Experience in Accounts Receivable, medical billing, or payment posting.
• Solid understanding of AR processes, including reviewing aging reports and basic insurance concepts.
• Proficiency in Microsoft 365 (especially Excel).
• Comfortable working with payment posting or billing software (prior exposure preferred).
• Medicaid experience is an advantage but not essential.
• Management or supervisory experience is a plus.
• Willingness and ability to learn - supplemental training will be provided where needed.

Soft Skills:

• Highly detail-oriented with strong analytical skills.
• Confident decision-maker who can work independently.
• Professional, reliable, and accountable.
• Tech-savvy and adaptable to new systems and processes.
• Strong communication skills and ability to work cross-functionally.
• Calm, organized, and able to manage priorities effectively.

If you are not contacted within 14 working days, please consider your application unsuccessful.

Skills Required