Physician Medical Billing Specialist - PST Hours (Remote)

ISTA Personnel Solutions; Gauteng; Remote; ZAR 300,000 - 450,000; Full time

Job summary

ISTA Personnel Solutions, a dynamic BPO company in South Africa, seeks a skilled Physician Medical Billing Specialist with at least 2 years of experience. The role involves managing the complete billing cycle for U.S. healthcare services, ensuring compliance and accuracy, while working remotely during PST hours. Ideal candidates will have expertise in coding and knowledge of medical billing software, contributing to efficient claim processing and resolution of discrepancies.

Qualifications

• Minimum 2 years of experience in U.S. Physician/Professional Medical Billing.
• Strong knowledge of CPT, ICD-10, and HCPCS codes required.
• Proven ability to work independently with minimal supervision.

Responsibilities

• Handle the complete end-to-end physician billing process for professional healthcare services.
• Submit clean claims to payers and follow up on denials.
• Maintain thorough documentation and uphold compliance standards.

Skills

CPT coding

ICD-10 coding

HCPCS coding

Problem-solving skills

Attention to detail

Tools

Medical billing software

Job description

I STA Personnel Solutions South Africa - we are a dynamic and fast-growing BPO company based in South Africa, specializing in providing top-tier operational support to U.S.-based companies. We are not a recruitment agency—we are a dedicated extension of our clients’ teams, delivering high-quality service with precision, efficiency, and a personal touch.

We are hiring!

We are seeking a seasoned professional with a minimum of 2 years’ hands-on experience in Physician Medical Billing (Professional Billing and not Long-Term Care) t o join a fast-paced USA healthcare client’s billing team. This is a critical role that requires someone who is already confident and skilled in this role as no training can be provided , and therefore prior experience is essential.

As a Physician Medical Billing Specialist , you will be responsible for executing the full end-to-end billing cycle for professional healthcare services. This is a detail-oriented role requiring a strong understanding of U.S. physician billing standards.

PLEASE NOTE :

• Working Hours : This role requires you to work PST hours Mon - Fri from 9am to 6pm PST (18h00pm to 03h00am South African time - subject to change depending on daylight savings)
• Internet Requirements : A fixed fiber 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 fiber 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 remote role for South African Citizens only.

Requirements

• Minimum 2 years of experience in U.S. Physician / Professional Medical Billing
• Strong knowledge of CPT, ICD-10, and HCPCS codes
• Familiarity with U.S. healthcare insurance payers , including denials and appeals
• Experience using medical billing software systems
• Proven ability to work independently with minimal supervision
• High level of accuracy , attention to detail, and problem-solving skills

Preferred Qualifications :

• Prior experience supporting U.S. healthcare providers or billing companies
• Knowledge of compliance requirements and best practices in U.S. billing

Key Responsibilities :

• Handle the complete end-to-end physician billing process for professional healthcare services.
• Apply accurate CPT, ICD-10, and HCPCS coding.
• Submit clean claims to payers, follow up on denials , and manage appeals.
• Work with U.S. insurance companies and understand reimbursement workflows.
• Use billing software systems to manage and process claims efficiently.
• Maintain thorough documentation and uphold compliance standards.
• Identify and resolve billing discrepancies independently.

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