Billing and Authorizations

3 days, 5 hours ago
Full-time
Senior
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 insurance billing, claims submission, and authorization workflows.
  • Submit, track, and renew insurance authorizations to prevent service interruptions.
  • Follow up with insurance companies on outstanding claims, denials, and delayed payments.
  • Investigate and resolve billing discrepancies and authorization issues.
  • Monitor authorization usage and address expiring or exhausted authorizations proactively.
  • Maintain accurate and current records in company systems.
  • Generate reports on billing, authorization, and claims status.
  • Identify workflow inefficiencies and improve processes and outcomes.
  • Collaborate with internal teams to ensure insurance and billing requirements are met.

Requirements

  • Significant experience in insurance billing, claims management, and authorizations within a healthcare setting.
  • Experience with ABA services, behavioral health, or medical billing is highly preferred.
  • Strong understanding of insurance payors, authorization requirements, and claims processing.
  • Self-motivated with the ability to take initiative and solve problems independently.
  • Highly organized with exceptional attention to detail.
  • Strong communication and follow-up skills with insurance representatives and internal stakeholders.
  • Tech-savvy and comfortable learning new software, systems, and reporting tools.
  • Proficiency in Microsoft Office, especially Excel.
  • Ability to manage multiple priorities in a fast-paced environment.
  • Ability to work U.S. hours (9am-5pm EST) from South Africa.

Benefits

  • Remote work from home.
  • Comfortable working U.S. hours.
  • Fraud protection notice: ReWorks Solutions will never request payment during recruitment.
  • Fraud protection notice: No in-person office visits are required.
  • Official communication will come from a ReWorks Solutions email address.

Interested in this position?

Apply directly on the company website

Apply Now

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