Authorisation Specialist- TALENT POOL

3 hours, 17 minutes ago
Full-time
Junior
Operations
Reworks Solutions

Reworks Solutions

ReWorks Solutions provides rigorously vetted, native English-speaking remote professionals backed by white-glove management and proactive support.

Internet Software & Services

Description

  • Manage prior authorization requests accurately and within required timelines.
  • Prepare, submit, and follow up on medical billing claims with insurers and patients.
  • Communicate with providers, payers, and patients to resolve authorization and billing issues.
  • Maintain accurate records in EHR and billing systems in accordance with payer policies and regulations.
  • Monitor authorization approvals and denials and resolve discrepancies.
  • Support billing audits and reconciliation processes to maintain revenue integrity.

Requirements

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

Benefits

  • Full-time remote work from home.
  • Work U.S. hours from 9:00 a.m. to 5:00 p.m. Eastern Time.
  • Salary paid in South African Rands (ZAR).

Interested in this position?

Apply directly on the company website

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