Talent.com
Case Manager (Skilled Nursing Facilities) - EST hours (Remote)

Case Manager (Skilled Nursing Facilities) - EST hours (Remote)

ISTA SolutionsWorkFromHome, Eastern Cape, South Africa
30+ days ago
Job type
  • Remote
Job description

Case Manager (Skilled Nursing Facilities) - EST hours (Remote)

STA Personnel Solutions South Africa - we are a global BPO company, partnering with a USA-based client offering Billing and Accounts Receivable Management Services in the Healthcare Sector, and are seeking a Case Manager with Skilled Nursing Facilities experience. This role requires a minimum of 1-year experience in the USA Healthcare Industry, with strong knowledge of medical billing (claims), initial authorization processing (In-patient) and case management (reviewing clinicals) and MS Office.

  • Working Hours : This role requires you to work USA hours Mon - Fri from 9am to 6pm EST (15h00pm to midnight South Africa time, however these hours are subject to change depending on daylight savings).
  • Work Environment : This is a remote working role
  • Internet Requirements : A fixed fibre line with a minimum speed of 25 Mbps (upload & download) and the ability to support a wired Ethernet connection is mandatory. Applicants without a fixed fibre line cannot be considered.
  • Power Backup : A reliable power backup solution is required to manage load shedding and power outages. Applicants without a power backup cannot be considered.

Key Responsibilities

  • Manage healthcare accounts, ensuring seamless claims processing and authorizations
  • Oversee accurate and timely medical billing processes, including coding for services
  • Review clinicals for case management and coordinate approvals
  • Follow up on claims, resolve denials, and liaise with insurance providers
  • Work closely with clinical, administrative, and financial teams to support seamless patient care and billing processes
  • Utilize MS Office (Excel, PDF, Outlook) for reporting and documentation
  • Ensure compliance with billing policies and healthcare regulations
  • Requirements

  • Minimum of 1 year of experience in US healthcare settings, with a strong focus on medical billing, coding (CPT, ICD-10), and case management
  • Sound knowledge of HIPAA regulations
  • Strong analytical skills and good judgment
  • Highly detail-oriented and precise
  • Efficient in managing and prioritizing emails
  • Excellent communication, problem-solving, and organizational abilities
  • Follows established processes with accuracy
  • Understands processes with the ability to exercise good judgement in taking appropriate next steps
  • If you are not contacted within 14 working days, please consider your application unsuccessful.

    Seniority level

  • Entry level
  • Employment type

  • Full-time
  • Job function

  • Administrative
  • Industries

  • IT Services and IT Consulting
  • #J-18808-Ljbffr

    Create a job alert for this search

    Case Manager • WorkFromHome, Eastern Cape, South Africa

    Related jobs
    • Promoted
    Nursing Practitioner - Clicks Fountains Mall

    Nursing Practitioner - Clicks Fountains Mall

    Clicks Group LimitedOos-Kaap, South Africa
    Other : FMCG, Retail, Wholesale and Supply Chain.To promote and deliver professional, commercially viable and quality clinic services in compliance with South African Nursing Council regulations and...Show moreLast updated: 2 days ago
    • Promoted
    HOSPITAL MANAGER - NURTURE BEACON BAY - EAST LONDON

    HOSPITAL MANAGER - NURTURE BEACON BAY - EAST LONDON

    The Nurture Health GroupOos-Kaap, South Africa
    As the Hospital Manager, you will be responsible for leading the clinical and operational teams to deliver high-quality, patient-centred care. You will manage daily hospital operations, ensure regul...Show moreLast updated: 5 days ago
    • Promoted
    Case Manager & Billing (USA Healthcare) - EST hours (Remote)

    Case Manager & Billing (USA Healthcare) - EST hours (Remote)

    ISTA Personnel SolutionsWorkFromHome, Eastern Cape, South Africa
    Remote
    I STA Personnel Solutions South Africa - we are a global BPO company, partnering with a USA-based client offering Billing and Accounts Receivable Management Services in the Healthcare Sector, and a...Show moreLast updated: 3 days ago
    • Promoted
    Manager Hospital Ballito

    Manager Hospital Ballito

    Haven Health Management (Pty) LtdOos-Kaap, South Africa
    Rehabilitation Therapy Manager (Rehab Intervention Leader).Our Group Practice at Nurture iLembe is looking for a Rehabilitation Therapy Manager (Rehab Intervention Leader) to join their team.Are yo...Show moreLast updated: 30+ days ago
    • Promoted
    Virtual Healthcare Case Coordinator (Skilled Nursing) - EST hours (Remote)

    Virtual Healthcare Case Coordinator (Skilled Nursing) - EST hours (Remote)

    ISTA Personnel SolutionsWorkFromHome, Eastern Cape, South Africa
    Remote
    STA Personnel Solutions South Africa - We are a global Business Process Outsourcing (BPO) provider based in South Africa, working with a US-based client in the healthcare revenue cycle management s...Show moreLast updated: 30+ days ago
    • Promoted
    Remote Area Nurse ( RAN )

    Remote Area Nurse ( RAN )

    CRANAplusWorkFromHome, Eastern Cape, South Africa
    Remote
    Browse through the employment listings below to discover your dream rural or remote health care job.Opportunities in the Stunning Kimberley Region, WA!!. Ready to take your nursing career off the be...Show moreLast updated: 3 days ago
    • Promoted
    Senior Care Manager

    Senior Care Manager

    Remote RecruitmentWorkFromHome, Eastern Cape, South Africa
    Get AI-powered advice on this job and more exclusive features.Senior Care Manager – UK Compliance & Safeguarding Specialist. We are recruiting a highly experienced Senior Care Manager to provide str...Show moreLast updated: 30+ days ago
    • Promoted
    Virtual Healthcare Case Coordinator (Skilled Nursing) - EST hours (Remote)

    Virtual Healthcare Case Coordinator (Skilled Nursing) - EST hours (Remote)

    ISTA SolutionsWorkFromHome, Eastern Cape, South Africa
    Remote
    STA Personnel Solutions South Africa - We are a global Business Process Outsourcing (BPO) provider based in South Africa, working with a US-based client in the healthcare revenue cycle management s...Show moreLast updated: 30+ days ago
    • Promoted
    Clinical Nurse Manager — Remote

    Clinical Nurse Manager — Remote

    CRANAplusWorkFromHome, Eastern Cape, South Africa
    Remote
    Browse through the employment listings below to discover your dream rural or remote health care job.Provides team leadership both clinical and non-clinical towards the achievement of objectives of ...Show moreLast updated: 12 days ago
    • Promoted
    Registered Nurse - AI Trainer

    Registered Nurse - AI Trainer

    Invisible Expert MarketplaceWorkFromHome, Eastern Cape, South Africa
    You will harness your clinical expertise to shape the next generation of AI, driving clinical insight, education, and care delivery worldwide. Converse with advanced language models on clinical scen...Show moreLast updated: 17 days ago
    • Promoted
    Patient Services Manager

    Patient Services Manager

    Pro Recruit SaWorkFromHome, Eastern Cape, South Africa
    Please Read Carefully & Fully Complete Both Steps Below to Be Considered.Application Process & Requirements.Fill out the application form (choose "Service Manager" as the position you are applying ...Show moreLast updated: 3 days ago
    • Promoted
    Strategic Panel Counsel Manager (REMOTE)

    Strategic Panel Counsel Manager (REMOTE)

    Hanover Insurance CompanyWorkFromHome, Eastern Cape, South Africa
    Remote
    Strategic Panel Counsel Manager (REMOTE).Posted Tuesday, October 7, 2025 at 4 : 00 AM.For more than 170 years, The Hanover has been committed to delivering on our promises and being there when it mat...Show moreLast updated: 1 day ago
    • Promoted
    REGISTERED NURSE (OUTPATIENTS SERVICES 7AM-16 : 00PM) AT NURTURE AURORA - GQEBERHA

    REGISTERED NURSE (OUTPATIENTS SERVICES 7AM-16 : 00PM) AT NURTURE AURORA - GQEBERHA

    The Nurture Health GroupOos-Kaap, South Africa
    At Nurture Health, we are a purpose-driven healthcare provider committed to delivering integrated physical and medical rehabilitation services. Our interdisciplinary teams work together to help indi...Show moreLast updated: 5 days ago
    • Promoted
    Case Manager & Billing (USA Healthcare) - EST hours (Remote)

    Case Manager & Billing (USA Healthcare) - EST hours (Remote)

    ISTA SolutionsWorkFromHome, Eastern Cape, South Africa
    Remote
    Case Manager & Billing (USA Healthcare) - EST hours (Remote).ISTA Personnel Solutions, South Africa - we are a global BPO company, partnering with a USA-based client offering Billing and Accounts R...Show moreLast updated: 30+ days ago
    • Promoted
    Nurse / Midwife Clinical Specialist - Remote

    Nurse / Midwife Clinical Specialist - Remote

    NT HealthWorkFromHome, Eastern Cape, South Africa
    Remote
    Nurse / Midwife Clinical Specialist - Remote.NT Health Bathurst, Eastern Cape, South Africa.Work Unit : Primary Health Care – Darwin Region. Location : Wurrumiyanga (Nguiu –Bathurst Is).Primary Objectiv...Show moreLast updated: 6 days ago
    • Promoted
    Manager of Financial Clearance - Patient Access - Remote - Days

    Manager of Financial Clearance - Patient Access - Remote - Days

    VCU HealthWorkFromHome, Eastern Cape, South Africa
    Remote
    Remote : For the state of Virginia only.The Manager of Financial Clearance is responsible for managing performance, which encompasses operational performance, financial performance, and cost efficie...Show moreLast updated: 30+ days ago
    • Promoted
    Remote Dialysis Nurse

    Remote Dialysis Nurse

    Western Desert Nganampa Walytja Palyantjaku Tjutaku Aboriginal CorporationWorkFromHome, Eastern Cape, South Africa
    Remote
    Due to our consistent growth across NT, SA and WA;.There is much to discuss in relation to Purple House remote Dialysis Nurse roles – Central Australia is a big, beautiful place; and the opportunit...Show moreLast updated: 3 days ago
    • Promoted
    Regional Liability Adjuster-Major Case Unit (REMOTE)

    Regional Liability Adjuster-Major Case Unit (REMOTE)

    Hanover Insurance CompanyWorkFromHome, Eastern Cape, South Africa
    Remote
    Regional Liability Adjuster-Major Case Unit (REMOTE).Posted Tuesday, October 7, 2025 at 4 : 00 AM.For more than 170 years, The Hanover has been committed to delivering on our promises and being there...Show moreLast updated: 2 days ago