Authorisation Specialist- TALENT POOL

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

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