Remote Case Manager - US Healthcare Billing & Case Mgmt

Ista Solutions; Gauteng; Remote; ZAR 300 000 - 400 000; Full time

Job summary

A global BPO company is seeking an Entry-Level Case Manager with experience in Skilled Nursing Facilities. This remote role focuses on medical billing, claims processing, and case management. Candidates must have at least 1 year of experience in the US healthcare sector and strong knowledge of HIPAA regulations. Essential skills include attention to detail and effective communication. The position requires working USA hours from South Africa.

Benefits

Remote work opportunity

Flexible working hours

Qualifications

• Minimum of 1 year of experience in US healthcare settings focusing on medical billing and case management.
• Sound knowledge of HIPAA regulations.
• Strong analytical skills and good judgment.

Responsibilities

• Manage healthcare accounts, ensuring seamless claims processing and authorizations.
• Oversee accurate and timely medical billing processes, including coding for services.
• Review clinicals for case management and coordinate approvals.

Skills

Medical billing knowledge

Case management experience

Analytical skills

Attention to detail

Communication skills

Tools

MS Office (Excel, PDF, Outlook)

Job description

A global BPO company is seeking an Entry-Level Case Manager with experience in Skilled Nursing Facilities. This remote role focuses on medical billing, claims processing, and case management. Candidates must have at least 1 year of experience in the US healthcare sector and strong knowledge of HIPAA regulations. Essential skills include attention to detail and effective communication. The position requires working USA hours from South Africa.