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Medical Billing Specialist (Supervisor)

Medical Billing Specialist (Supervisor)

ReWorks SolutionsWorkFromHome, KwaZulu-Natal, South Africa
30+ days ago
Job description

Overview

Job Opening : Medical Billing Specialist (Supervisor)

Type : Full-Time, Work from Home

Hours : Monday to Friday : 9am- 5pm (US Hours)

Pay : Monthly USD Salary

Job Summary

We are seeking a detail-oriented and experienced Medical Billing Specialis t with a strong background in ABA therapy billin g. The successful candidate will manage the end-to-end billing process, ensuring accurate claim submissions, payment postings, and resolution of denied claims for ABA therapy services. Familiarity with insurance verification, CPT codes for ABA, and Medical Aid / insurance guidelines is essential

Key Responsibilities

  • Verify client insurance eligibility and benefits specific to ABA therapy
  • Accurately prepare and submit insurance claims (electronic and paper) for ABA services
  • Review and correct billing errors and ensure compliance with payer requirements
  • Post payments and reconcile insurance and patient accounts
  • Follow up on unpaid or denied claims; appeal and resolve denials in a timely manner
  • Communicate with insurance companies, clients, and internal teams regarding billing issues
  • Maintain patient confidentiality and adhere to HIPAA regulations
  • Generate patient statements and manage collections process as needed
  • Stay updated with billing codes and payer-specific rules
  • Assist in monthly reporting and analysis of billing performance and revenue cycle metrics

Qualifications

  • Minim um 2 years of experience in medical bill ing, with a strong preference for ABA billing
  • Proficient in using billing software and electronic health records
  • Knowledge of ABA-specific CPT codes and insurance procedures
  • Strong understanding of payer guidelines including Medical Aid, commercial insurance, and managed care.
  • Excellent attention to detail, organizational, and time management skills
  • Effective communication and problem-solving abilities
  • Preferred Skills

  • Familiarity with insurance authorizations and re-authorizations
  • Experience in multi-state billing or handling multiple payers
  • Knowledge of HIPAA and other healthcare compliance standards
  • Fluent or neutral English accent
  • Reliable internet and backup power
  • Salary and Benefits

    To Apply :

    Email your CV and to move forward with the next steps, we'd love to learn more about your background and experiences through a short video. Please record a brief video introducing yourself and describing your relevant work experie nces. You may upload your video using Google Drive o r Loom, and then share the link with us with you application.

    Please not e that applications submitted without a video will not be processed further, so we encourage you to complete this step at your earliest convenience.

    If you have not heard back from us within 14 days of application, please consider it as unsuccessful.

    Senior ity level

  • Entry level
  • Employment type

  • Full-time
  • Job function

  • Administrative
  • Industries
  • Medical Practices and Hospitals and Health Care
  • Referrals increase your chances of interviewing at ReWorks Solutions by 2x

    Medical Biller (USA Healthcare) - EST Working Hours (Remote)

    Medical Biller (USA Healthcare) - EST Working Hours (Remote)

    USA Medical Billing Collections - EST hours (Remote)

    USA Medical Billing Collections - EST hours (Remote)

    Johannesburg, Gauteng, South Africa 1 month ago

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    Supervisor • WorkFromHome, KwaZulu-Natal, South Africa

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