ReWorks Solutions

Hospital & Health Care

BillingandAuthorizationsSpecialist

Remote FULL TIME Remote Friendly
Market Sentiment
HIGH DEMAND

Neural analysis suggests this role is
optimal for Mid+ candidates.

The Brief

“Billing and Authorizations Specialist at ReWorks Solutions. Skills: Billing, Authorizations, Claims processing. Manage insurance authorizations. Track insurance authorizations”

Industry & Context.

Hospital & Health Care
Problems you'll solve

Problem-solving skills; Follow through on outstanding issues

What They're Looking For.

Must Have

Previous experience in medical billing, Previous experience in insurance authorizations, Previous experience in healthcare administration, Proficient in Microsoft Excel, Proficient in Microsoft Office applications

Nice to Have

Experience working with ABA services, Experience working with behavioral health billing

What You'll Do.

Manage insurance authorizations

Track insurance authorizations

Submit new authorizations

Monitor expiring authorizations

Monitor insurance claims status

Follow up with insurance companies

Resolve claim denials

Resolve claim processing issues

Communicate with insurance representatives

Ensure claims processed accurately

Ensure authorizations processed accurately

Ensure claims processed timely

Ensure authorizations processed timely

Maintain accurate records of authorizations

Maintain accurate records of claims

Maintain accurate records of billing activities

Generate billing reports

Generate authorization reports

Review billing reports

Review authorization reports

Collaborate with clinical teams

Collaborate with administrative teams

Ensure uninterrupted client services

Identify billing concerns

Identify authorization concerns

Escalate billing concerns

Escalate authorization concerns

Assist with administrative tasks

Assist with insurance verification

Assist with revenue cycle management

How You'll Work.

Team & Collaboration

Internal teams; Insurance providers; Clients; Clinical teams; Administrative teams

Communication Scope

Communicate professionally; Communicate effectively

Full Job Description

**Job Title:** Billing and Authorizations Specialist **Location:** South Africa **Job Type:** Full-Time, Remote (US Hours: 9am-5pm EST) **Position Overview** We are seeking a detail-oriented and organized Billing & Authorizations Coordinator to support our ABA services team. This role is responsible for ensuring that insurance authorizations, claims, and billing processes are managed efficiently to prevent disruptions in client services. The ideal candidate is responsible, proactive, and an effective communicator who can work closely with insurance providers, clients, and internal teams. ### Key Responsibilities * Manage and track insurance authorizations, including new submissions, renewals, and expiring authorizations. * Monitor the status of insurance claims and follow up with insurance companies to resolve delays, denials, or processing issues. * Communicate with insurance representatives to ensure claims and authorizations are processed accurately and in a timely manner. * Maintain accurate records of authorizations, claims, and billing activities. * Generate and review reports related to billing and authorizations. * Collaborate with clinical and administrative teams to ensure uninterrupted client services. * Identify and escalate billing or authorization concerns when necessary. * Assist with administrative tasks related to insurance verification and revenue cycle management. **Requirements** * Previous experience in medical billing, insurance authorizations, healthcare administration, or a related field preferred. * Experience working with ABA services or behavioral health billing is advantageous. * Strong attention to detail and excellent organizational skills. * Ability to communicate professionally and effectively with insurance providers, clients, and team members. * Proficient in Microsoft Excel and other basic Microsoft Office applications. * Strong problem-solving skills and the ability to follow through on outstanding issues. * Ability to manage mult

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