Remote Clinical Case Manager – US Healthcare Billing

ISTA Personnel Solutions; Remote; ZAR 200 000 - 300 000; Full time

Job summary

A global BPO company is seeking a detail-oriented Clinical Case Manager. This remote role involves managing complex healthcare cases, coordinating with US insurance providers, and ensuring compliant billing. Candidates must have healthcare experience and the ability to work USA hours from South Africa. Key responsibilities include medical documentation review, authorization processing, and maintaining HIPAA compliance. Applicants must have a minimum of 1-3 years of relevant experience and knowledge of ICD-10 coding.

Benefits

Remote working

Compensated for South African public holidays

Qualifications

• 1–3 years healthcare experience required.
• Proven experience in case or account management.
• Experience with inpatient authorization processing.

Responsibilities

• Manage end-to-end case management for US healthcare clients.
• Process inpatient and SNF authorizations.
• Ensure accurate medical billing and coding.

Skills

Knowledge of ICD-10 and CPT coding

Healthcare experience

Case management

Medical billing

Tools

MS Office

Job description

A global BPO company is seeking a detail-oriented Clinical Case Manager. This remote role involves managing complex healthcare cases, coordinating with US insurance providers, and ensuring compliant billing. Candidates must have healthcare experience and the ability to work USA hours from South Africa. Key responsibilities include medical documentation review, authorization processing, and maintaining HIPAA compliance. Applicants must have a minimum of 1-3 years of relevant experience and knowledge of ICD-10 coding.