Medical Billing Specialist (Supervisor)

ReWorks SolutionsWorkFromHome, Mpumalanga, 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

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Supervisor • WorkFromHome, Mpumalanga, South Africa