Manage healthcare providersโ administrative workflows by coordinating appointments and patient care, maintaining accurate records, handling documentation and billing support, and protecting patient confidentiality.
Authorisation Specialist- TALENT POOL
๐ 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.
๐ ๏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.
โจ 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
- Comfortable working U.S. hours
- 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.
Similar jobs
Search more Medical Billing Specialist jobsPrior Authorization Pharmacy Technician - New Hampshire Pharmacy License
Support patients in accessing medications by coordinating prior authorizations and financial assistance, resolving insurance and claims issues, and partnering with care teams to promote timely therapy and adherence.
Medical VA | Prior Authorization Specialist
Manage end-to-end prior authorizations for healthcare practitioners, coordinating with providers, patients, and insurers to secure timely approvals and support patient access, practice workflows, and revenue cycle efficiency.
Post and reconcile healthcare payments, adjustments, and denials across customer systems, resolve cash and balance discrepancies, and help ensure accurate, efficient revenue cycle workflows.
Handle medical billing data by entering and reconciling facility records, monitoring Medicare payments, and following up on claims, denials, and underpayments while maintaining accurate documentation.
