Remote Billing & Eligibility Specialist - US Healthcare

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

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.