ReWorks Solutions

Healthcare

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: Insurance billing, Claims management, Authorizations. Manage insurance billing. Manage claims submission”

Industry & Context.

Healthcare
Problems you'll solve

Problem solving

What They're Looking For.

Must Have

Significant experience in insurance billing, Claims management experience, Authorizations experience, Experience in a healthcare setting, Proficient in Microsoft Office, Proficient in Excel

Nice to Have

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

What You'll Do.

Manage insurance billing

Manage claims submission

Manage authorization processes

Submit insurance authorizations

Track insurance authorizations

Renew insurance authorizations

Follow up with insurance companies

Investigate billing discrepancies

Resolve billing discrepancies

Investigate authorization issues

Resolve authorization issues

Monitor authorization utilization

Address expiring authorizations

Address exhausted authorizations

Maintain accurate records

Generate billing reports

Generate authorization reports

Generate claims status reports

Identify process inefficiencies

Ensure insurance requirements are met

Ensure billing requirements are met

How You'll Work.

Team & Collaboration

Internal teams

Communication Scope

Follow-up skills

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 an experienced Billing & Authorizations Specialist to join our growing ABA team. This role is ideal for a proactive, tech-savvy professional who has extensive experience working with insurance providers, billing processes, and authorizations. The successful candidate will take ownership of the insurance and billing workflow, identify opportunities for improvement, and ensure all claims and authorizations are processed efficiently and accurately. ### Key Responsibilities * Manage all aspects of insurance billing, claims submission, and authorization processes. * Submit, track, and renew insurance authorizations to ensure uninterrupted client services. * Follow up with insurance companies regarding outstanding claims, denials, and payment delays. * Investigate and resolve billing discrepancies and authorization issues. * Monitor authorization utilization and proactively address expiring or exhausted authorizations. * Maintain accurate and up-to-date records within company systems. * Generate reports related to billing, authorizations, and claims status. * Identify process inefficiencies and take initiative to improve workflows and outcomes. * Collaborate with internal teams to ensure all insurance and billing requirements are met. **Requirements** * Significant experience in insurance billing, claims management, and authorizations within a healthcare setting. * Experience working with ABA services, behavioral health, or medical billing is highly preferred. * Strong understanding of insurance payors, authorization requirements, and claims processing. * Self-motivated with the ability to take initiative and solve problems independently. * Highly organized with exceptional attention to detail. * Strong communication and follow-up skills when working with insurance representatives and internal stakehol

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