Remote Medical Billing Specialist – Denials & Appeals

Affinity International; Johannesburg; Remote; ZAR 240,000 - 420,000; Full time

Job summary

Affinity International is seeking a Medical Billing Specialist to join a US-based healthcare organization on a fully remote basis. The role focuses on insurance follow-up, denial management, and appeals, ensuring claims are resolved accurately and collected promptly. You will work US EST business hours and manage a high volume of accounts independently.

Full system and payer training will be provided. Candidates should have US medical billing experience, CPT/ICD-10/HCPCS knowledge, and strong

Qualifications

• 2 years of hands-on US medical billing experience (claim submission, denial management, and payment posting).
• CPT, ICD-10, HCPCS coding knowledge; able to read EOBs and ERAs.
• Familiarity with US payers including commercial insurers, Medicare, and Medicaid.
• Proficient in Microsoft Excel or Google Sheets; comfortable with new billing software.
• Reliable home office setup with stable internet; able to work US EST business hours.

Responsibilities

• Follow up with insurance companies on unpaid, delayed, and underpaid claims via phone and online payer portals.
• Review denial explanations, identify root causes, correct errors, and resubmit claims within payer-specified timeframes.
• Draft and submit formal appeals with appropriate supporting documentation tailored to each payer's requirements.
• Monitor and work aging accounts receivable reports to reduce outstanding balances.
• Track all claim activity and maintain accurate, up-to-date notes on every account.
• Identify and flag recurring denial trends and billing errors to the wider team for process improvement.
• Liaise with clinic and provider staff to obtain missing or incomplete information needed to resolve claims.

Skills

US medical billing

Claim submission

Denial management

Appeals

EOB/ERA review

CPT/ICD-10/HCPCS

Payer knowledge

Excel/Google Sheets

Remote work

Time management

Education

Matric (Grade 12)

Diploma in Medical Administration

Tools

Billing software

Job description

Affinity International is seeking a Medical Billing Specialist to join a US-based healthcare organization on a fully remote basis. The role focuses on insurance follow-up, denial management, and appeals, ensuring claims are resolved accurately and collected promptly. You will work US EST business hours and manage a high volume of accounts independently.

Full system and payer training will be provided. Candidates should have US medical billing experience, CPT/ICD-10/HCPCS knowledge, and strong