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ReWorks Solutions

Authorisation Specialist- TALENT POOL

RemoteSouth Africa only
Published
Role
Operations
Experience
Mid
Employment
Full-time
Salary not disclosed
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No BS summary

Full-time remote authorizations/billing specialist in South Africa working US hours. Needs 2+ years in medical billing and authorization, plus billing software, EHR, Microsoft Office, CPT/ICD-10 and insurance policy knowledge.

Core skills

Electronic Health RecordsMedical billingPrior authorization

Required skills

Billing softwareMicrosoft Office SuiteCPTICD-10

What you'll do

  • Manage prior authorization requests ensuring timely and accurate processing to support patient care delivery.
  • Prepare, submit and follow up on medical billing claims to insurance companies and patients.
  • Communicate with healthcare providers, insurance payers, and patients to resolve billing and authorization issues.
  • Maintain accurate records within EHR and billing systems, ensuring compliance with payer policies and regulations.
  • Monitor authorization approvals and denials, taking appropriate action to resolve discrepancies.
  • Support billing audits and reconciliation processes to ensure revenue integrity.

What they require

  • Associate's degree in healthcare administration, medical billing, or related field preferred.
  • At least 2 years of experience in medical billing and authorization processes.
  • Proficiency with billing software, electronic health records (EHR), and Microsoft Office Suite.
  • Strong understanding of medical terminology, coding (CPT, ICD-10), and insurance policies.
  • Excellent organizational skills with high attention to detail.
  • Strong communication skills to collaborate effectively with multiple stakeholders.
  • Ability to work independently in a remote, fast-paced environment.
  • Comfortable working U.S. hours

Benefits

  • Remote work from home

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🇺🇸 United StatesHealthcare
Salary not disclosed