Authorisation Specialist- TALENT POOL
- Role
- Operations
- Experience
- Mid
- Employment
- Full-time
Open to ZA only. Set where you work from to check your eligibility.
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
Required skills
Job Title: Authorizations Specialist/Billing Job Type: Full-Time, Remote (US Hours: 9am-5pm EST) Salary: Paid in South African Rands (ZAR) Key Responsibilities 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. Requirements 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. Benefits 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.
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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