ReWorks Solutions

Hospital & Health Care

BillingSpecialist

Remote FULL TIME Remote Friendly
Market Sentiment
HIGH DEMAND

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

The Brief

“Billing Specialist at ReWorks Solutions. Skills: Medical billing, Claims submission, Revenue cycle management. Prepare and submit medical claims. Review billing information for errors”

What You'll Achieve.

Increase efficiency; Reduce claim denials

Industry & Context.

Hospital & Health Care

What They're Looking For.

Must Have

Prior experience in medical billing, Prior experience in healthcare revenue cycle management, Knowledge of medical billing codes, Knowledge of insurance claim submission processes, Knowledge of payer requirements, Understanding of compliance regulations related to healthcare billing

Nice to Have

US billing experience, Familiarity with medical billing software, Familiarity with electronic health records

What You'll Do.

Prepare and submit medical claims

Review billing information for errors

Follow up on unpaid claims

Maintain patient billing records

Apply payer-specific billing rules

Assist in reconciling payments

Support billing department process improvement

How You'll Work.

Team & Collaboration

Communicate with internal teams; Work with product team

Communication Scope

Communicate effectively with insurance providers; Communicate with patients; Communicate with internal teams; Excellent communication skills

Full Job Description

**Job Title:** Billing Specialist **Location:** South Africa **Job Type:** Full-Time, Remote **Working Hours:** US Hours (9am-5pm EST) **Salary:** South African Rand (ZAR) ### Key Responsibilities * Prepare and submit accurate medical claims to insurance payers in a timely manner. * Review billing information for errors, inconsistencies, and compliance with payer guidelines. * Follow up on unpaid or denied claims to ensure prompt resolution and payment. * Maintain accurate patient billing records and update invoices as needed. * Communicate effectively with insurance providers, patients, and internal teams to clarify billing issues. * Apply payer-specific billing rules and stay current with industry regulations and coding standards. * Assist in reconciling payments and resolving discrepancies in billing accounts. * Support the billing department in improving processes to increase efficiency and reduce claim denials. **Requirements** * Prior experience in medical billing or healthcare revenue cycle management. * Knowledge of medical billing codes, insurance claim submission processes, and payer requirements. * Strong attention to detail to ensure accuracy in billing and claims. * Excellent communication skills for interaction with patients, providers, and insurance companies. * Ability to manage multiple tasks efficiently and work independently in a remote setting. * Familiarity with medical billing software and electronic health records is a plus. * Understanding of compliance regulations related to healthcare billing. * US billing experience is preferred **Benefits** 1. Comfortable working U.S. hours 2. Remote work from home _**Fraud Disclaimer: **_ReWorks Solutions will never request payment during recruitment or require in-person office visits. All official communication will come from a ReWorks Solutions email address. Please verify any suspicious messages with our team directly.

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