Billing and Authorizations Specialist at ReWorks Solutions

, , South Africa -

Full Time

Start Date

Immediate

Expiry Date

29 May, 26

Salary

0.0

Posted On

28 Feb, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Medical Billing, Prior Authorizations, Medical Claims, EHR Systems, CPT Coding, ICD-10 Coding, HCPCS Coding, Payer Guidelines, Record Maintenance, Communication, Process Improvement, Organizational Skills, Attention To Detail, Billing Software, Independent Work, Accountability

Industry

Outsourcing and Offshoring Consulting

Description

Job Title: Billing and Authorizations Specialist Job Type: Full-Time, Remote Working Hours: US Hours (9am-5pm EST) Key Responsibilities Manage all aspects of billing, including preparing and submitting medical claims to insurers for reimbursement. Request and obtain prior authorizations for services to ensure timely patient care while adhering to payer guidelines. Follow up on outstanding claims and authorization requests, addressing any discrepancies or issues that arise. Maintain accurate records of billing, payment, and authorization documentation through electronic health record (EHR) systems. Communicate regularly with patients, healthcare providers, and insurance representatives to resolve billing and authorization inquiries. Monitor billing trends and authorization metrics to identify opportunities for process improvement. Associate's degree in Healthcare Administration, Business, or a related field; Bachelor's degree preferred. A minimum of 2 years of experience in medical billing and authorizations in a healthcare setting. Strong understanding of medical coding (CPT, ICD-10, HCPCS) and payer-specific requirements. Excellent attention to detail with strong organizational skills to manage multiple tasks effectively. Proficient in EHR systems and billing software along with standard office applications. Strong verbal and written communication skills to facilitate working with diverse stakeholders. Ability to work independently in a remote setting while demonstrating professionalism and accountability. Comfortable working U.S. hours Remote work from home Fraud Disclaimer: ReWorks Solutions will never request payment during recruitment or require in-person office visits. All official communication will come from a ReWorks Solutions email address. Please verify any suspicious messages with our team directly.

Responsibilities

The specialist will manage all billing aspects, including preparing and submitting medical claims, and requesting prior authorizations for services to ensure compliance with payer guidelines. This role also involves following up on outstanding items and communicating with various stakeholders to resolve inquiries.