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Billing Assistant

1 hour, 51 minutes ago
South Africa
Full-time
Junior
Accountant
Finance and Accounting
Apply Now
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
View All Jobs 27

Description

  • Conduct internal audits of services before claim submission to identify errors, inconsistencies, and missing information.
  • Research claim discrepancies by reviewing documentation, scheduling data, authorizations, and payer requirements.
  • Communicate with providers and internal team members to clarify services delivered and ensure claims accurately reflect clinical activity.
  • Make corrections and adjustments in the practice management system to finalize clean claims.
  • Apply payer-specific and state-specific billing rules to support compliance and prevent denials.
  • Interpret billing rules and regulatory intent to resolve new or uncommon billing scenarios.
  • Review EOBs, ERAs, and bank deposit information to post payer payments accurately.
  • Reconcile posted payments against deposit totals and identify discrepancies or underpayments.
  • Flag potential payer issues, trends, or inconsistencies for escalation.
  • Generate and correct patient invoices, follow up on outstanding balances, and document outreach and payment arrangements.

Requirements

  • Bachelor’s degree (BA/BS) highly preferred.
  • Previous experience in medical billing, claims auditing, revenue cycle management, accounts receivable, payment posting, or healthcare administration required.
  • Strong understanding of claim auditing and claim-cleaning processes required.
  • Ability to review documentation, authorizations, scheduling records, and payer requirements to identify claim discrepancies.
  • Experience reviewing EOBs and ERAs preferred.
  • Strong attention to detail and analytical skills required.
  • Strong communication and problem-solving abilities required.
  • Ability to interpret payer-specific and state-specific billing guidelines.
  • Experience working with billing software or practice management systems preferred.
  • Ability to manage multiple tasks and deadlines in a fast-paced environment.
  • Ability to work independently in a remote environment.
  • Reliable internet connection and a suitable home office setup.
  • Experience with ABA billing codes and authorization structures preferred.
  • Multi-state or multi-payer billing experience preferred.
  • Experience posting payments and reconciling deposits preferred.
  • Familiarity with denial prevention and claims auditing workflows preferred.
  • Experience using medical billing software and practice management systems preferred.
  • Experience working with US healthcare insurance payers and reimbursement processes preferred.

Benefits

  • Remote work from home.
  • Comfortable working U.S. hours (9am-5pm EST).
  • Salary paid in South African Rand (ZAR).
  • Fraud protection notice: the company states it will never request payment during recruitment or require in-person office visits.
  • Official communication is limited to a ReWorks Solutions email address.
  • Applicants are advised to verify suspicious messages directly with the team.

Interested in this position?

Apply directly on the company website

Apply Now

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