ReWorks Solutions
Healthcare
BillingAssistant
Neural analysis suggests this role is
optimal for Mid+ candidates.
“Billing Assistant at ReWorks Solutions. Skills: Medical billing, Claims auditing, Revenue cycle management. Conduct internal audits of services. Identify errors prior to claim submission”
What You'll Achieve.
Improve accounts receivable performance
Industry & Context.
Problem-solving abilities
Work US Hours, Work 9am-5pm EST
What They're Looking For.
Must Have
Previous experience in medical billing, Previous experience in claims auditing, Previous experience in revenue cycle management, Previous experience in accounts receivable, Previous experience in payment posting, Previous experience in healthcare administration, understanding of claim auditing, understanding of claim-cleaning processes, Ability to review documentation, Ability to review authorizations, Ability to review scheduling records, Ability to review payer requirements, Ability to interpret payer-specific billing guidelines, Ability to interpret state-specific billing guidelines, Ability to manage multiple tasks, Ability to manage deadlines, Ability to work independently, Reliable internet connection, Suitable home office setup
Nice to Have
Bachelor’s degree highly preferred, Experience reviewing EOBs preferred, Experience reviewing ERAs preferred, Experience with billing software preferred, Experience with practice management systems preferred, Experience with ABA billing codes, Experience with ABA authorization structures, Multi-state billing experience, Multi-payer billing experience, Experience posting payments, Experience reconciling deposits, Familiarity with denial prevention, Familiarity with claims auditing workflows, Experience using medical billing software, Experience using practice management systems, Experience working with US healthcare insurance payers, Experience working with reimbursement processes
What You'll Do.
Conduct internal audits of services
Identify errors prior to claim submission
Identify inconsistencies prior to claim submission
Identify missing information prior to claim submission
Research discrepancies by reviewing documentation
Research discrepancies by reviewing scheduling data
Research discrepancies by reviewing authorizations
Research discrepancies by reviewing payer requirements
Communicate with providers
Communicate with internal team members
Clarify services delivered
Ensure claims reflect accurate clinical activity
Make necessary corrections
Make necessary adjustments
Finalize clean claims
Apply payer-specific billing rules
Apply state-specific billing rules
Demonstrate understanding of billing rules
Demonstrate understanding of regulatory intent
Resolve new scenarios
Resolve uncommon scenarios
Review Explanation of Benefits
Review Electronic Remittance Advice
Review bank deposit information
Accurately post payer payments
Reconcile posted payments against deposit totals
Identify discrepancies in payments
Identify underpayments
Flag potential payer issues
Flag potential payer trends
Flag potential payer inconsistencies
Escalate payer issues
Maintain accurate financial records
Generate patient invoices
Correct patient invoices
Follow up with patients
Follow up with responsible parties
Document outreach attempts
Document payment arrangements
Support timely resolution of patient balances
Improve accounts receivable performance
How You'll Work.
Team & Collaboration
Communicate with internal team members
Communication Scope
Communication abilities
Full Job Description
**Job Title: **Billing Assistant **Location:** South Africa **Job Type:** Full-Time, Remote **Working Hours:** US Hours (9am-5pm EST) **Salary:** South African Rand (ZAR) ### Responsibilities: * Conduct internal audits of services prior to claim submission to identify errors, inconsistencies, or missing information * Research discrepancies by reviewing documentation, scheduling data, authorizations, and payer requirements * Communicate with providers and internal team members to clarify services delivered and ensure claims reflect accurate clinical activity * Make necessary corrections or adjustments within the practice management system to finalize clean claims * Apply payer-specific and state-specific billing rules to ensure compliance and prevent denials * Demonstrate an understanding of underlying billing rules and regulatory intent to appropriately resolve new or uncommon scenarios * Review Explanation of Benefits (EOBs), Electronic Remittance Advice (ERA), and bank deposit information to accurately post payer payments * Reconcile posted payments against deposit totals and identify discrepancies or underpayments * Flag potential payer issues, trends, or inconsistencies for escalation * Maintain accurate financial records within the billing system * Generate and correct patient invoices as needed * Follow up with patients or responsible parties regarding outstanding balances * Document outreach attempts and payment arrangements * Support timely resolution of patient balances to improve overall accounts receivable performance **Requirements** * Bachelor’s degree (BA/BS) highly preferred * Previous experience in medical billing, claims auditing, revenue cycle management, accounts receivable, payment posting, or healthcare administration required * Strong understanding of claim auditing and claim-cleaning processes required * Ability to review documentation, authorizations, scheduling records, and payer requirements to identify claim discrepancies * Experience revi
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