Remote Medical Billing & Authorization Specialist (EST Hours)

ReWorks Solutions; South Africa; Remote; ZAR 240.000 - 360.000; Vollzeit

Zusammenfassung

ReWorks Solutions is seeking an Authorizations Specialist/Billing to manage prior authorizations and billing for a remote role aligning with US business hours. The position requires experience in medical billing, CPT/ICD-10 coding, and strong communication with providers and payers.

You will work with EHR systems and billing software, ensuring timely submissions, compliance, and revenue integrity while you collaborate with multiple stakeholders in a fast-paced remote environment.

Qualifikationen

• Associate's degree in healthcare administration, medical billing, or related field.
• At least 2 years of experience in medical billing and authorization processes.
• Proficiency with billing software, EHR, and Microsoft Office.
• Strong understanding of CPT, ICD-10, and insurance policies.
• Excellent organizational skills with high attention to detail.
• Strong communication skills to collaborate with multiple stakeholders.
• Ability to work independently in a remote, fast-paced environment.

Aufgaben

• Manage prior authorization requests ensuring timely and accurate processing to support patient care delivery.
• Prepare, submit and follow up on medical billing claims to insurance companies and patients.
• Communicate with healthcare providers, insurance payers, and patients to resolve billing and authorization issues.
• Maintain accurate records within EHR and billing systems, ensuring compliance with payer policies and regulations.
• Monitor authorization approvals and denials, taking appropriate action to resolve discrepancies.
• Support billing audits and reconciliation processes to ensure revenue integrity.

Kenntnisse

Billing software

Electronic Health Records

Medical terminology

CPT coding

ICD-10 coding

Microsoft Office

Communication

Organizational skills

Remote work capability

Independent work

Ausbildung

Associate's degree in healthcare administration, medical billing, or related field

Tools

Billing software

EHR systems

Microsoft Office Suite

Jobbeschreibung

Job Title: Authorizations Specialist/Billing

Job Type: Full-Time, Remote (US Hours: 9am-5pm EST)

Salary: Paid in South African Rands (ZAR)

Key Responsibilities

• Manage prior authorization requests ensuring timely and accurate processing to support patient care delivery.
• Prepare, submit and follow up on medical billing claims to insurance companies and patients.
• Communicate with healthcare providers, insurance payers, and patients to resolve billing and authorization issues.
• Maintain accurate records within EHR and billing systems, ensuring compliance with payer policies and regulations.
• Monitor authorization approvals and denials, taking appropriate action to resolve discrepancies.
• Support billing audits and reconciliation processes to ensure revenue integrity.

• Associate's degree in healthcare administration, medical billing, or related field preferred.
• At least 2 years of experience in medical billing and authorization processes.
• Proficiency with billing software, electronic health records (EHR), and Microsoft Office Suite.
• Strong understanding of medical terminology, coding (CPT, ICD-10), and insurance policies.
• Excellent organizational skills with high attention to detail.
• Strong communication skills to collaborate effectively with multiple stakeholders.
• Ability to work independently in a remote, fast-paced environment.

1. Comfortable working U.S. hours
2. Remote work from home

Fraud Disclaimer: ReWorks Solutions will never request payment during recruitment or require in-person office visits. All official communication will come from a ReWorks Solutions email address. Please verify any suspicious messages with our team directly.