Case Manager (Skilled Nursing Facilities) - Est Hours (Remote)

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

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

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