Medical Biller

ReWorks Solutions; South Africa; Remote; ZAR 230,000 - 360,000; Full time

Job summary

ReWorks Solutions is seeking a proactive Medical Billing & Accounts Administrator to support a US-based provider from South Africa. You will handle payment posting, insurance benefit checks, payer portal registrations, ERA/EFT enrolments, and family/client invoicing.

The role requires independent work, strong organisational skills, and meticulous data entry across multiple systems. US hours and remote collaboration with healthcare teams are essential.

Qualifications

• Experience in medical billing or healthcare administration preferred.
• Knowledge of insurance benefit verification and payer portals.
• Ability to post payments accurately and maintain records.

Responsibilities

• Process and post payments to client accounts with high accuracy.
• Verify insurance benefits and manage payer portal registrations.
• Coordinate ERA/EFT enrolments and monitor outstanding items.
• Prepare client invoicing and manage family billing records.
• Provide timely updates on billing tasks and deadlines.

Skills

Billing accuracy

Organisational skills

English communication

Independence

Time management

Education

Healthcare administration experience

Tools

US healthcare billing systems

Insurance payer portals

ERA/EFT enrolment platforms

Excel

Job description

We are looking for a proactive, highly organised and detail-oriented Medical Billing & Accounts Administrator to join a growing healthcare services team.

The successful candidate will be responsible for supporting the financial and administrative operations of a US-based healthcare provider. This includes processing payments, verifying insurance benefits, managing insurance payer portal registrations, coordinating electronic payment and remittance enrolments, and handling family billing and client invoicing.

This role requires someone who is comfortable working with healthcare billing processes, financial records and multiple administrative systems. You will need to take ownership of assigned responsibilities, stay on top of outstanding tasks and ensure that billing and payment administration is handled accurately and efficiently.

The ideal candidate is someone who takes initiative, works independently and can manage multiple ongoing tasks without requiring constant supervision.

Requirements

Key Responsibilities

1. Medical Billing & Payment Administration

• Process and post incoming payments accurately to the relevant client accounts
• Manage payment posting and ensure financial records are kept up to date
• Review payment information and identify discrepancies or missing information
• Assist with maintaining accurate billing and payment records
• Monitor outstanding payments and follow up on relevant billing queries

2. Insurance Benefits & Verification

• Conduct insurance benefit checks to confirm patient coverage and available benefits
• Review insurance information and ensure relevant details are accurately recorded
• Identify potential coverage issues or discrepancies and elevate where necessary
• Maintain accurate records of insurance verification activities

3. Insurance Payer Portal Administration

• Set up and maintain insurance payer portal accounts
• Coordinate agency recognition and registration with relevant insurance payers
• Manage Electronic Remittance Advice (ERA) and Electronic Funds Transfer (EFT) enrolments
• Monitor enrolment progress and follow up on outstanding registrations or approvals
• Ensure payer portal information and account details remain accurate and up to date

4. Family Billing & Client Invoicing

• Manage billing administration for families receiving healthcare services
• Prepare and issue invoices to clients and families
• Maintain accurate billing records and supporting documentation
• Respond to billing-related queries and assist with resolving discrepancies
• Ensure invoices and payment information are processed within required timelines

5. General Financial & Administrative Support

• Maintain organised records, spreadsheets and billing documentation
• Track outstanding tasks, enrolments, payments and administrative requests
• Manage multiple projects and deadlines simultaneously
• Identify administrative gaps and proactively follow up on outstanding items
• Provide regular updates on completed tasks, pending activities and potential issues
• Support improvements to billing and administrative workflows

Minimum Requirements

• Previous experience in medical billing, healthcare administration or medical accounts administration is strongly preferred
• Understanding of medical billing and payment posting processes
• Experience working with insurance benefits verification
• Familiarity with insurance payer portals and healthcare administration
• Knowledge of ERA/EFT enrolment processes
• Experience with invoicing, payment tracking and financial administration
• Strong numerical and data-entry accuracy
• Excellent organisational and time-management skills
• Strong written and verbal English communication skills
• Good computer literacy and confidence working across multiple systems
• Ability to work independently and take ownership of responsibilities
• Strong attention to detail and ability to manage multiple ongoing tasks

Advantageous Experience

• Experience working with US healthcare providers or medical billing companies
• Exposure to ABA therapy or behavioural healthcare billing
• Experience with insurance payer registration and agency recognition
• Familiarity with electronic payment processing and remittance systems
• Experience managing family billing and patient accounts
• Exposure to healthcare practice management or medical billing software

Software & Systems

Candidates should ideally have experience working with:

• Medical billing or practice management systems
• Insurance payer portals
• ERA/EFT enrolment platforms
• Insurance benefits verification systems
• Payment posting and invoicing software
• Microsoft Excel and other administrative tools

Specific software training will be provided where required.

Working Hours & Holiday Structure

• Full-time remote position
• Working hours aligned with the client's US business operations
• US public holidays observed
• No weekend work required

The Ideal Candidate

• Proactive: Takes initiative, follows up on outstanding tasks and doesn't wait to be reminded
• Highly organised: Can manage several projects, billing activities and administrative responsibilities simultaneously
• Detail-oriented: Understands the importance of accuracy when handling financial and insurance information
• Accountable: Takes ownership of tasks from start to completion
• Resourceful: Comfortable investigating issues, finding solutions and escalating when necessary
• Independent: Able to work remotely and manage their workload without constant supervision
• Consistent: Keeps records updated, meets deadlines and ensures nothing falls through the cracks

The right candidate is someone who can take ownership of the medical billing and administrative process, keep everything organised and ensure that payments, insurance registrations and invoicing activities are consistently followed through.