ReWorks Solutions
Hospital & Health Care
AuthorizationsSpecialistilling
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“Authorizations Specialistilling at ReWorks Solutions. Skills: prior authorization requests, medical billing claims, healthcare providers, insurance payers. Manage prior authorization requests. Prepare, submit and follow up on medical billing claims”
What You'll Achieve.
ensuring timely and accurate processing; support patient care delivery; resolve billing and authorization issues; ensuring compliance with payer policies; ensuring compliance with regulations; taking appropriate action to resolve discrepancies; ensure revenue integrity
Industry & Context.
What They're Looking For.
Must Have
At least 2 years of experience in medical billing and authorization processes, Proficiency with billing software, Proficiency with electronic health records (EHR), Proficiency with Microsoft Office Suite, understanding of medical terminology, understanding of coding (CPT, ICD-10), understanding of insurance policies, Excellent organizational skills, high attention to detail, communication skills to collaborate effectively with multiple stakeholders, Ability to work independently in a remote, fast-paced environment
Nice to Have
Associate's degree in healthcare administration, medical billing, or related field
What You'll Do.
Manage prior authorization requests
submit and follow up on medical billing claims
Communicate with healthcare providers
Communicate with insurance payers
Communicate with patients
Maintain accurate records within EHR
Maintain accurate records within billing systems
Monitor authorization approvals
Monitor authorization denials
Support billing audits
Support reconciliation processes
How You'll Work.
Team & Collaboration
collaborate effectively with multiple stakeholders
Communication Scope
communication skills to collaborate effectively with multiple stakeholders
Full Job Description
**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** 1. Comfortable working U.S. hours 2. 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.
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