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Building quality global teams that drive efficiency and results
Medical Biller
Location
South Africa
Posted
53 days ago
Salary
0
Seniority
Mid Level
Job Description
Medical Biller
ReWorks Solutions
Job Opening: Medical Billing Specialist Location: South Africa (Remote – US Hours) Type: Full-Time, Work from Home Hours: Monday to Friday: 9am- 5pm (US Hours) Job Summary: We are seeking a detail-oriented and experienced Medical Billing Specialist with a strong background in ABA therapy billing. The successful candidate will manage the end-to-end billing process, ensuring accurate claim submissions, payment postings, and resolution of denied claims for ABA therapy services. Familiarity with insurance verification, CPT codes for ABA, and Medicaid/insurance guidelines is essential. Key Responsibilities: - Verify client insurance eligibility and benefits specific to ABA therapy. - Accurately prepare and submit insurance claims (electronic and paper) for ABA services. - Review and correct billing errors and ensure compliance with payer requirements. - Post payments and reconcile insurance and patient accounts. - Follow up on unpaid or denied claims; appeal and resolve denials in a timely manner. - Communicate with insurance companies, clients, and internal teams regarding billing issues. - Maintain patient confidentiality and adhere to HIPAA regulations. - Generate patient statements and manage collections process as needed. - Stay updated with billing codes and payer-specific rules. - Assist in monthly reporting and analysis of billing performance and revenue cycle metrics. Qualifications: - Minimum 2 years of experience in medical billing, with a strong preference for ABA billing. - Proficient in using billing software and electronic health records. - Knowledge of ABA-specific CPT codes and insurance procedures. - Strong understanding of payer guidelines including Medicaid, commercial insurance, and managed care. - Excellent attention to detail, organizational, and time management skills. - Effective communication and problem-solving abilities Preferred Skills: - Familiarity with insurance authorizations and re-authorizations. - Experience in multi-state billing or handling multiple payers. - Knowledge of HIPAA and other healthcare compliance standards - Fluent or neutral English accent - Reliable internet and backup power Salary and Benefits - Comfortable working U.S. hours - Remote work
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Payment Poster
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Remote Medical Receptionist
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About Visana Health Visana Health is an innovative virtual women's health clinic offering comprehensive clinical care and holistic support for women. We are redesigning women's healthcare by bringing a patient-centered human touch to care for complex conditions such as chronic pelvic pain, endometriosis, uterine fibroids, heavy menstrual bleeding, and more. About the Job As we continue to grow, we are looking for a dynamic and experienced Medical Receptionist who will report into our Revenue Cycle and Billing Manager and help keep our clinic running smoothly. This person will not only be front facing answering phones and helping field questions from our patients but also continue to offer our concierge level of care with various back office duties and special projects. Key Functions & Responsibilities (included But Not Limited To): - Deliver high-quality remote support via chat, phone, and email, serving as one of the first responders to any inbound questions or requests priority items get a proper response. - Answer main clinic phone, fielding questions from patients and insurance companies. - Prep patient charts and confirm insurance eligibility ahead of appointments. - Assist in research and completion of patient referral requests. - Answer any questions or concerns about referrals with patients via intercom. - Update patient records in Athena. - Collect patient payments over the phone when required. - Reschedule patients when a provider calls in sick of reschedules - Complete check outs daily for patients and providers so appointments and be billed. - Troubleshoot and handle any issues within Athena, Aircall or Intercom for the care coordinator team. - Assist in any special projects as needed. - Provides quality customer service - follows HIPAA rules and regulations. Requirements Qualifications - Medical Assistant Certification required. - Experience with multitasking and reprioritizing priorities as needed. - 1+ years experience in customer service and answering phones. - Preferred experience with Athena, Intercom and GoogleSuite. - Self-starter with exceptional attention to detail, strong verbal and visual communication skills, and a track record of executing cross-functional - Passion for health, wellness, and the future of healthcare innovation Benefits & Details - Compensation: $18-20/hr - Fully Remote within the United States - Comprehensive medical, dental, and vision insurance - HSA & FSA options - 401(k) - Work alongside a passionate, mission-driven team transforming women’s healthcare - Benefit perks like Wellhub and Talkspace As part of your role, you may come into contact with sensitive patient information governed by HIPAA. Visana will provide security and privacy training. Why Join Visana Health? Women’s health has been treated like a narrow set of “moments” for far too long. Visana is building something bigger: whole-person care across life stages, with deep clinical expertise in complex, high-cost conditions like menopause, endometriosis, and PCOS. In this role you will help design experiences that allow patients to access care more easily and receive the support they need. Your work will directly shape how members engage with Visana and how clinicians deliver care through our platform. Commitment to Diversity Visana Health is a proud Equal Opportunity Employer. We actively value diverse voices and backgrounds and welcome applicants regardless of race, religion, national origin, sex, gender identity, sexual orientation, disability, age, veteran status, or any legally protected characteristics.
Become a part of our caring community The Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Provider Contracting Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Provider Contracting Professional will recontract Humana contracted dentists to our new agreement and will communicate contract terms, payment structures, and reimbursement rates to providers. Maintain contracts and documentation within a tracking system. May assist with identifying and recruiting providers based on network composition and needs. Understand department, segment, and organizational strategy and operating goals, including their linkages to related areas. 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Job Details Do you want to work at one of the Top 100 Hospitals in the nation? We are guided by our values of Love and Excellence and are passionate about delivering health, not just health care. Come join us at ChristianaCare! ChristianaCare, with Hospitals in Wilmington and Newark, DE, as well as Elkton, MD, is one of the largest health care providers in the Mid-Atlantic Region. Named one of “America’s Best Hospitals” by U.S. News & World Report, we have an excess of 1,100 beds between our hospitals and are committed to providing the best patient care in the region. We are proud to that Christiana Hospital, Wilmington Hospital, our Ambulatory Services, and HomeHealth have all received ANCC Magnet Recognition®. Scheduling Flexibility and Perks - The schedule and hours for this position are very flexible and we will work with you on work/life balance to build a schedule that works for you - This position is 100% remote and we encourage national candidates to apply - We provide equipment, coding books, continuing education credits as well as professional organization memberships to AHIMA or APC Primary Function: ChristianaCare is currently seeking a Part Time Coder. This individual will be responsible for accurate and timely assignment of ICD-10 CM/PCS and HCPCS/CPT codes, payment group classification assignment and data abstraction for reimbursement purposes and statistical information reporting on all Inpatient, Outpatient, Emergency Medicine, Ancillary and Diagnostics records, and/or any other patient records. 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Hourly Pay Range: $23.85 - $35.78 This pay rate/range represents ChristianaCare’s good faith and reasonable estimate of compensation at the time of posting. The actual salary within this range offered to a successful candidate will depend on individual factors including without limitation skills, relevant experience, and qualifications as they relate to specific job requirements. Christiana Care Health System is an equal opportunity employer, firmly committed to prohibiting discrimination, whose staff is reflective of its community, and considers qualified applicants for open positions without regard to race, color, sex, religion, national origin, sexual orientation, genetic information, gender identity or expression, age, veteran status, disability, pregnancy, citizenship status, or any other characteristic protected under applicable federal, state, or local law. Post End Date May 1, 2026 EEO Posting Statement ChristianaCare offers a competitive suite of employee benefits to maximize the wellness of you and your family, including health insurance, paid time off, retirement, an employee assistance program. To learn more about our benefits for eligible positions visit https://careers.christianacare.org/benefits-compensation/




