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ReWorks Solutions

Medical Billing Administrator

RemoteSouth Africa only
Published
Role
Operations
Experience
Junior
Employment
Full-time
Salary not disclosed
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Open to ZA only. Set where you work from to check your eligibility.

No BS summary

Medical billing administrator in South Africa with at least 1 year of healthcare billing experience. Must work remotely on US hours, 9am–5pm EST. Speech Therapy or ABA billing experience is a plus.

What you'll do

  • Prepare, review, and submit accurate medical claims to insurance providers and government healthcare programmes.
  • Monitor submitted claims and track their progress through to payment.
  • Investigate and resolve rejected, denied, or unpaid claims.
  • Perform accounts receivable (A/R) follow-up to ensure timely reimbursement.
  • Submit corrected claims and appeals where necessary.
  • Ensure all claims are submitted within payer filing deadlines.
  • Maintain accurate provider, patient, and billing records.
  • Review billing documentation for completeness and accuracy before claim submission.
  • Verify billing information and resolve discrepancies.
  • Maintain organised billing files and supporting documentation.
  • Liaise with insurance companies, governing agencies, and healthcare providers regarding billing enquiries and claim status.
  • Build and maintain effective working relationships with providers, management, and external stakeholders.
  • Provide updates on outstanding claims and reimbursement issues.
  • Ensure billing activities comply with healthcare regulations, payer requirements, and company policies.
  • Maintain confidentiality of patient and provider information.
  • Support internal audits and quality assurance processes.

What they require

  • Minimum 1 year of medical billing experience.
  • Previous experience working within the healthcare industry.
  • Understanding of medical billing processes and the revenue cycle.
  • Knowledge of the credentialing process is advantageous.
  • Excellent attention to detail and organisational skills.
  • Ability to manage multiple priorities and meet deadlines.
  • Strong communication and problem-solving skills.
  • Ability to work independently and as part of a team.
  • Comfortable working in a fast-paced, growing environment.
  • Experience in Speech Therapy or ABA (Applied Behavior Analysis) billing is highly advantageous.
  • Comfortable working U.S. hours

Benefits

  • Comfortable working U.S. hours
  • Remote work from home

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🇺🇸 United StatesHealthcare
Salary not disclosed