ReWorks Solutions
Hospital & Health Care
BillingandAuthorizationsSpecialist
Neural analysis suggests this role is
optimal for Mid+ candidates.
“Billing and Authorizations Specialist at ReWorks Solutions. Skills: Billing, Authorizations, Claims processing. Manage insurance authorizations. Track insurance authorizations”
Industry & Context.
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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