Billing & Eligibility Specialist (Us Healthcare / Aba Therapy) - Est Hrs (Remote)

ISTA Solutions; Remote; ZAR 200 000 - 300 000; Full time

Job summary

A professional service provider focused on BPO is seeking a Billing & Eligibility Specialist to support US-based ABA therapy services fully remotely. You will handle insurance verification, manage prior authorizations, and conduct billing administration to maintain smooth operations. Candidates should have prior experience in medical billing and outstanding communication abilities. Familiarity with insurance processes and a solid organizational skillset are essential for success in this role.

Qualifications

• Previous experience in medical billing, eligibility verification, or insurance coordination is essential.
• Familiarity with insurance portals and authorization procedures.
• Basic computer skills are required.

Responsibilities

• Contact insurance companies to verify patient eligibility and benefits.
• Confirm and follow up on prior authorizations.
• Accurately update and maintain insurance information in the system.
• Identify and report any discrepancies or issues.
• Provide administrative support to the billing team as needed.

Skills

Excellent verbal and written English communication

Highly organized with attention to detail

Ability to handle sensitive situations

Tools

MS Office

Outlook

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.

Join our team as a Billing & Eligibility Specialist supporting US-based ABA therapy services. You will assist with insurance verification, prior authorizations, and billing administration to ensure smooth operations and accurate reimbursement processes.

PLEASE NOTE

• Working Hours: Monday - Friday | 9:00 AM - 6:00 PM EST (4:00 PM - 01:00 AM South African time - subject to daylight savings)
• Public Holidays: This role requires working on both South African and U.S. public holidays (compensation for SA public holidays in accordance with the BCEA)
• Internet Requirements: A fixed fibre line with a minimum speed of 25 Mbps (upload & download) and wired Ethernet capability is mandatory. Applicants without a fixed fibre line cannot be considered
• Power Backup: Reliable backup required to manage load shedding or outages. Applicants without a power backup cannot be considered
• Work Environment: Fully remote

Job Responsibilities

• Contact insurance companies to verify patient eligibility and benefits.
• Confirm and follow up on prior authorizations.
• Accurately update and maintain insurance information in the system.
• Identify and report any discrepancies or issues.
• Provide administrative support to the billing team as needed.
• Draft clear, polite, and professional communications.
• Maintain accurate records of insurance and billing activities.

Requirements

• Industry Experience (Required)
  • Previous experience in medical billing, eligibility verification, or insurance coordination.
  • Familiarity with insurance portals and authorization procedures.
• Soft Skills
  • Excellent verbal and written English communication.
  • Calm, professional, and able to handle sensitive situations.
  • Highly organized with attention to detail.
• Technical Skills
  • Basic computer skills, including MS Office and Outlook.
  • Comfortable navigating systems to update records accurately.

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