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Authorisation Specialist- TALENT POOL

๐Ÿ“… Aug 4
Prior AuthorizationsMedical BillingClaims ProcessingElectronic Health Records (ehr)
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๐Ÿ“œ Description

  • Process prior authorization requests accurately and promptly to support patient care.
  • Maintain accurate records in EHR and billing systems in line with payer policies and regulations.
  • Monitor authorization approvals and denials and resolve discrepancies.
  • Support billing audits and reconciliation to help ensure revenue integrity.

๐Ÿ› ๏ธ Requirements

  • Associate's degree in healthcare administration, medical billing, or related field preferred.
  • At least 2 years of experience in medical billing and authorization processes.
  • Proficiency with billing software, electronic health records (EHR), and Microsoft Office Suite.
  • Strong understanding of medical terminology, coding (CPT, ICD-10), and insurance policies.
  • Excellent organizational skills with high attention to detail.
  • Strong communication skills to collaborate effectively with multiple stakeholders.
  • Ability to work independently in a remote, fast-paced environment.

โœจ Benefits

  • Comfortable working U.S. hours
  • Remote work from home
  • Prepare, submit, and follow up on medical billing claims.
  • Resolve billing and authorization issues with healthcare providers
  • Insurance payers
Full job description

Job Title: Authorizations Specialist/Billing

Job Type: Full-Time, Remote (US Hours: 9am-5pm EST)

Salary: Paid in South African Rands (ZAR)

Key Responsibilities

  • Manage prior authorization requests ensuring timely and accurate processing to support patient care delivery.
  • Prepare, submit and follow up on medical billing claims to insurance companies and patients.
  • Communicate with healthcare providers, insurance payers, and patients to resolve billing and authorization issues.
  • Maintain accurate records within EHR and billing systems, ensuring compliance with payer policies and regulations.
  • Monitor authorization approvals and denials, taking appropriate action to resolve discrepancies.
  • Support billing audits and reconciliation processes to ensure revenue integrity.

Requirements

  • Associate's degree in healthcare administration, medical billing, or related field preferred.
  • At least 2 years of experience in medical billing and authorization processes.
  • Proficiency with billing software, electronic health records (EHR), and Microsoft Office Suite.
  • Strong understanding of medical terminology, coding (CPT, ICD-10), and insurance policies.
  • Excellent organizational skills with high attention to detail.
  • Strong communication skills to collaborate effectively with multiple stakeholders.
  • Ability to work independently in a remote, fast-paced environment.

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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