Authorizations Specialist/Billing

3 hours, 13 minutes ago
Full-time
Junior
Customer and Technical Support
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 to ensure timely and accurate processing that supports 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 in EHR and billing systems while ensuring compliance with payer policies and regulations.
  • Monitor authorization approvals and denials and take appropriate action to resolve discrepancies.
  • Support billing audits and reconciliation processes to help maintain revenue integrity.

Requirements

  • Associate's degree in healthcare administration, medical billing, or a 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 including CPT and ICD-10, and insurance policies.
  • Excellent organizational skills with strong attention to detail.
  • Strong communication skills to collaborate effectively with multiple stakeholders.
  • Ability to work independently in a remote, fast-paced environment.

Benefits

  • Full-time remote work from home.
  • Comfortable working U.S. hours (9am-5pm EST).
  • Salary paid in South African Rands (ZAR).
  • Fraud protection notice stating the company will never request payment during recruitment.
  • Official communication only from a ReWorks Solutions email address.

Interested in this position?

Apply directly on the company website

Apply Now

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