Remote Medical Billing & Authorization Specialist (EST Hours)

ReWorks Solutions

South Africa

Remote

ZAR 240,000 - 360,000

Full time

14 days+

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Job summary

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.

Qualifications

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.

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.