This job offer is not available in your country.
Case Manager (Skilled Nursing Facilities) - EST hours (Remote)
ISTA Personnel SolutionsZA30+ days ago
Job type
- Remote
- Quick Apply
Job descriptionWorking Hours : This role requires you to work USA hours Mon - Fri from 9am to 6pm EST (15h00pm to midnight South African 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. 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. 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
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 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.
- PLEASE DO NOT APPLY IF YOU DO NOT HAVE HEALTHCARE EXPERIENCE - YOU WILL NOT BE CONSIDERED!!
PLEASE NOTE :
Key Responsibilities :
Requirements
If you are not contacted within 14 working days, please consider your application unsuccessful.
Create a job alert for this search
Case Manager • ZA
Related jobs
ISTA Personnel Solutions South Africa.We are a global Business Process Outsourcing (BPO) company partnering with a USA-based client that provides skilled nursing care to homebound paediatric patien...Show moreLast updated: 28 days ago 
- Promoted
Clinical Nurse Practitioner - Masiphumelele
Desmond Tutu Health FoundationZA Job title : Clinical Nurse Practitioner - Masiphumelele.Degree in Nursing with an active registration with SANC.Qualification in Primary Health Nursing.
At least 5 years of nursing experience.Sexual...Show moreLast updated: 11 days ago
- Promoted
Clinic Nurse Practitioner - Plettenberg Bay, Market Square (New Store)
Dis-Chem PharmaciesZA Job title : Clinic Nurse Practitioner - Plettenberg Bay, Market Square (New Store).Dis-Chem is looking for a Qualified Clinic Sister to join their team in Plettenberg Bay, Market Square.The key pur...Show moreLast updated: 25 days ago
- Promoted
Senior Clinical Data Manager
CytelSouth Africa Independently lead data management study activities, CRO oversight, and drive deliverable timelines.Represent data management on the Clinical Sub-team to ensure aligned expectations between CRO and...Show moreLast updated: 2 days ago
- Promoted
Clinical Data Manager (Data Review)
IQVIAZA Job title : Clinical Data Manager (Data Review).The CDM will perform scientific (complex) clinical data review in close collaboration with the Study Responsible Physicians (SRP) and Study Responsib...Show moreLast updated: 20 days ago
- Promoted
Clinic Nurse Practitioner - Piketberg
Dis-Chem PharmaciesZA Job title : Clinic Nurse Practitioner - Piketberg.Dis-Chem is looking for a Qualified Clinic Sister to join their team in Piketberg, West Coast.
The key purpose of the position is to manage and oper...Show moreLast updated: 7 days ago
- Promoted
Registered Nurse (RN) - Trauma / Emergency Centre
MHRZA Job title : Registered Nurse (RN) - Trauma / Emergency Centre.Introduction .Our client, a leader in the healthcare industry, is currently looking for Registered Nurses (RN) / Prof...Show moreLast updated: 6 days ago
- Promoted
Nursing Practitioner - Clicks Langebaan
Clicks GroupZA Job title : Nursing Practitioner - Clicks Langebaan.To establish and grow a loyal client base through effective promotion of the Clinic’s services to Clicks’ customers and by delivering high standa...Show moreLast updated: 26 days ago
- Promoted
Nursing Practitioner - Clicks Soshanguve Plaza
Clicks GroupZA Job title : Nursing Practitioner - Clicks Soshanguve Plaza.Manage a commercially viable clinic in line with company guidelines .
Provide lifestyle management screening tests.Conduct “Well Baby”...Show moreLast updated: 5 days ago
Nursing Verification & Support Coordinator - EST Hours (Remote)
ISTA Personnel SolutionsZARemote
Quick Apply
- Promoted
Patient Liaison Manager
FeedemZA Job title : Patient Liaison Manager.We are looking for a skilled PLO Manager to manage and lead a team of ward hostesses.
Must have previous experience working in a Hospital Environment.An additiona...Show moreLast updated: 15 days ago
- Promoted
Problem Manager – Transmission Specialty
NexioZA Job title : Problem Manager – Transmission Specialty.This role supports the CSOC Problem Management Department by investigating and resolving transmission-related issues, while also troubleshooting...Show moreLast updated: 13 days ago
- Promoted
- New!
Clinic Nurse Practitioner- Phoenix Plaza (New Store)
Dis-Chem PharmaciesZA Job title : Clinic Nurse Practitioner- Phoenix Plaza (New Store).Dis-Chem is looking for a Qualified Clinic Sister to join their team in Phoenix Plaza.
The key purpose of the position is to manage a...Show moreLast updated: 6 hours ago
- Promoted
Case Management Officer
MIBCOZA Job title : Case Management Officer.Monitor and account for stationery, consumable levels.Attend to professional drafted correspondence, posting, serving and courier documents.Generate case managem...Show moreLast updated: 30+ days ago
- Promoted
Registered Nurse (RN) - Theatre
MHRZA Job title : Registered Nurse (RN) - Theatre.Introduction .Our client is looking for Registered Nurses with proven Theatre experience.
This is for part-time shifts at a private hosp...Show moreLast updated: 30+ days ago
- Promoted
Administrator : Hospital Case Management
Road Accident FundZA Job title : Administrator : Hospital Case Management.Administer applicable standards, processes and procedures.Maintain version control on documentation related to the departments business activitie...Show moreLast updated: 8 days ago
- Promoted
Enrolled Nursing Auxiliary - Trauma / Emergency
MHRZA Job title : Enrolled Nursing Auxiliary - Trauma / Emergency.Introduction .MHR is currently looking for Enrolled Nursing Auxiliaries (ENA) to work part-time shifts in Emergency Uni...Show moreLast updated: 7 days ago
- Promoted
Stoma Nurse and Educator : Johannesburg
ColoplastZA Job title : Stoma Nurse and Educator : Johannesburg.Coloplast has an opportunity for a Stoma Care Nurse to join our South African nursing team.
As a registered nurse, this individual provides clinica...Show moreLast updated: 13 days ago
- Promoted
Manager : Rehabilitation Services
Digby Wells EnvironmentalZA Job title : Manager : Rehabilitation Services.Manage and contribute to the compilation of rehabilitation plans and implementation projects.
Thorough understanding of soil science and how soils relate...Show moreLast updated: 7 days ago