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Medical Billing Specialist

Medical Billing Specialist

ReWorks SolutionsWorkFromHome, Western Cape, South Africa
2 days ago
Job description

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Type : Full-Time, Work from Home

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

Pay : Monthly USD Salary

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

Job Summary

We are seeking a detail-oriented and experienced Medical Billing Specialist with a strong background in ABA therapy billing . 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

  • Minimum 2 years of experience in medical billing, 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
  • Experience working with US clients is an advantage
  • 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

    Details will be provided during the interview process.

    To Apply

    Email your CV and a short video introducing yourself and describing your relevant work experiences. You may upload your video using Google Drive or Loom, and then share the link with us when you apply.

    Please note 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.

    Seniority level

  • Entry level
  • Employment type

  • Full-time
  • Job function

  • Administrative
  • Industries

  • Medical Practices and Hospitals and Health Care
  • #J-18808-Ljbffr

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    Billing Specialist • WorkFromHome, Western Cape, South Africa

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