About the role
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.
Requirements
- 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.
Benefits
- Comfortable working U.S. hours - Remote work from home
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