Medical Billing Administrator

1 month, 2 weeks ago
Full-time
Entry Level
Finance and Accounting
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

  • Prepare, review, and submit accurate medical claims to insurance providers and government healthcare programmes.
  • Monitor submitted claims through to payment and provide updates on outstanding claims and reimbursement issues.
  • Investigate and resolve rejected, denied, or unpaid claims, including corrected claims and appeals.
  • Perform accounts receivable follow-up to help ensure timely reimbursement.
  • Ensure claims are submitted within payer filing deadlines.
  • Maintain accurate provider, patient, and billing records and organised supporting documentation.
  • Review billing documentation for completeness and accuracy before submission and verify billing information.
  • Liaise with insurance companies, governing agencies, and healthcare providers regarding billing enquiries and claim status.
  • Ensure billing activities comply with healthcare regulations, payer requirements, and company policies.
  • Support internal audits and quality assurance processes.

Requirements

  • Minimum 1 year of medical billing experience.
  • Previous experience working within the healthcare industry.
  • Understanding of medical billing processes and the revenue cycle.
  • Knowledge of the credentialing process is advantageous.
  • Excellent attention to detail and organisational skills.
  • Ability to manage multiple priorities and meet deadlines.
  • Strong communication and problem-solving skills.
  • Ability to work independently and as part of a team.
  • Comfortable working in a fast-paced, growing environment.
  • Experience in Speech Therapy or ABA (Applied Behavior Analysis) billing is highly advantageous.

Benefits

  • Comfortable working U.S. hours (9am-5pm EST).
  • Remote work from home.
  • Full-time employment.
  • Salary in South African Rand (ZAR).

Interested in this position?

Apply directly on the company website

Apply Now

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