Jnr Medical Billing Representative (USA Healthcare/ABA Therapy) - EST (Remote)

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

Job summary

A dynamic BPO company is seeking a Junior Medical Billing Representative to ensure accurate preparation and submission of insurance claims for healthcare services. The ideal candidate will have a strong attention to detail, excellent communication skills, and proficiency in Microsoft Office. This remote role requires adherence to U.S. healthcare billing standards and handling of customer interactions professionally.

Qualifications

• Strong attention to detail with a methodical and analytical approach to problem-solving.
• Excellent verbal and written English communication skills.
• Experience in medical billing, insurance processing, or revenue cycle management.

Responsibilities

• Prepare and submit insurance claims accurately within required timelines.
• Enter billing and service data into billing systems with high attention to detail.
• Track claim statuses and follow up on pending, denied, or returned claims.

Skills

Attention to detail

Verbal and written communication

Analytical problem-solving

Customer service

Tools

Microsoft Office Suite

Job description

ISTA Personnel Solutions SA is a dynamic and fast‑growing BPO company based in South Africa, specializing in providing top‑tier operational support to U.S.-based organizations. We are not a recruitment agency—our team works as a dedicated extension of our clients’ teams, delivering high‑quality service with precision, efficiency, and a personal touch.

We are hiring!

Job Title

Junior Medical Billing Representative – for a U.S.-based ABA therapy provider.

Role Overview

Ensure accurate preparation, submission, and follow‑up of insurance claims for healthcare and ABA therapy services. Verifying documentation, entering billing data, tracking claim statuses, and assisting with basic billing discrepancy resolution to support timely reimbursement.

Working Hours

• Sunday to Thursday: 16:00 – 01:00 (SA Time)

Important Notes

• Public Holidays: Must work both South African and U.S. public holidays (paid in accordance with the BCEA).
• Internet: Minimum 25 Mbps fiber (upload & download) and wired Ethernet required.
• Power Backup: Reliable backup needed to manage load shedding or outages.
• Work Environment: Fully remote.

Key Responsibilities

Claim Processing & Billing

• Prepare and submit insurance claims accurately within required timelines.
• Enter billing and service data into billing systems with high attention to detail.
• Verify session notes, timesheets, and required documentation before claim submission.

Documentation Review

• Review all service and therapist documentation for completeness and accuracy.
• Report any missing or incorrect information to the appropriate team member.

Insurance Follow‑Up

• Track claim statuses and follow up on pending, denied, or returned claims.
• Assist in identifying basic errors or discrepancies that could cause claim rejection.
• Maintain accurate and up‑to‑date records of claim progress.

Issue Resolution

• Support the billing team in resolving simple billing errors and coding issues.
• Request additional information from internal teams when needed.

Communication & Reporting

• Communicate clearly with internal colleagues and U.S.-based teams when clarification is required.
• Provide routine updates on claim progress, trends, or recurring issues.
• Meet all deadlines and follow required billing workflows.

Compliance & Confidentiality

• Adhere to U.S. healthcare billing standards and company policies.
• Maintain strict confidentiality and comply with HIPAA guidelines.

Requirements

• Strong attention to detail with a methodical and analytical approach to problem‑solving.
• Excellent verbal and written English communication skills.
• Proficient in Microsoft Office Suite.
• Experience in BPO environments or working with U.S. clients is an added benefit.
• Experience in medical billing, insurance processing, or revenue cycle management.
• Ability to remain patient, empathetic, and professional in all customer interactions.

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