Medical Biller (USA Healthcare) - EST Working Hours (Remote)

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

Job summary

A global BPO company is seeking an experienced Medical Biller to join their remote team. Candidates should have a strong background in the U.S. healthcare industry, in-depth knowledge of U.S. medical billing software, and excellent English communication skills. Responsibilities include preparing billing data and claims, verifying insurance coverage, and communicating with healthcare providers. This is a fully remote role requiring USA working hours, along with specific internet and power backup requirements.

Qualifications

• In-depth knowledge of U.S. medical billing software.
• Strong understanding of U.S. medical insurance policies.

Responsibilities

• Preparing and submitting billing data and medical claims to insurance companies.
• Ensuring each patient's medical information is accurate and up to date.
• Preparing bills and invoices and documenting amounts due for medical procedures and services.
• Verifying insurance coverage and eligibility.
• Communicating with healthcare providers regarding billing practices.
• Following up on unpaid claims and denials.
• Ensuring compliance with healthcare industry regulations and guidelines.
• Maintaining patient confidentiality and privacy.
• Maintaining accurate records of customer interactions, transactions, feedback, etc.
• Collaborating with colleagues and different departments to resolve complex issues.
• Providing customer support through different communication channels (Phone, email, chat).
• Resolving issues and accommodating customer inquiries to ensure satisfaction with products or services.

Skills

Exceptional English communication skills

Strong work ethic

Fast learner

Excellent problem-solving abilities

Tools

U.S. medical billing software

Job description

ISTA Personnel Solutions South Africa

is a global BPO company partnering with a U.S.-based client in the healthcare sector. We are seeking an experienced and highly professional Medical Biller with a strong background in the U.S. healthcare industry to join our remote team.

To excel in this role, you must have in-depth knowledge of U.S. medical billing software and a strong understanding of U.S. medical insurance policies.

PLEASE NOTE THE FOLLOWING:

• Working Hours: This role requires you to work USA hours, Mon - Fri, from 9am to 6pm EST time (16h00 to 01h00 South African time - subject to change depending on daylight savings).
• Work Environment: This is a fully remote working role.
• 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.

Responsibilities:

• Preparing and submitting billing data and medical claims to insurance companies.
• Ensuring each patient's medical information is accurate and up to date.
• Preparing bills and invoices and documenting amounts due for medical procedures and services.
• Verifying insurance coverage and eligibility.
• Communicating with healthcare providers regarding billing practices.
• Following up on unpaid claims and denials.
• Ensuring compliance with healthcare industry regulations and guidelines.
• Maintaining patient confidentiality and privacy.
• Maintaining accurate records of customer interactions, transactions, feedback, etc.
• Collaborating with colleagues and different departments to resolve complex issues.
• Providing customer support through different communication channels (Phone, email, chat).
• Resolving issues and accommodating customer inquiries to ensure satisfaction with products or services.

Requirements:

What we are looking for in a candidate:

• Exceptional English communication skills.
• Strong work ethic.
• A fast learner.
• Excellent problem-solving abilities.

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