ReWorks Solutions
Healthcare
BillingandAuthorizationsSpecialist
Neural analysis suggests this role is
optimal for Mid+ candidates.
“Billing and Authorizations Specialist at ReWorks Solutions. Skills: Insurance billing, Claims management, Authorizations. Manage insurance billing. Manage claims submission”
Industry & Context.
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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