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

Job DetailsJob Location: Homewood Main Campus - BIRMINGHAM, AL 35209Position Type: Full TimeGeneral Summary The Payment Poster is responsible for accurately posting payments, adjustments, and denials received from insurance companies and patients into the practice management system. This role ensures the integrity of financial data, supports revenue cycle efficiency, and contributes to timely and accurate reimbursement for services provided by Urology Centers of Alabama, P.C. Essential Functions Post insurance payments, patient payments, and electronic remittances (ERAs) accurately and in a timely manner Review Explanation of Benefits (EOBs) and Electronic Remittance Advices (ERAs) to ensure proper payment application Identify and post contractual adjustments, denials, and variances according to payer guidelines Reconcile daily payment batches and ensure all transactions balance Research and resolve payment discrepancies, including underpayments and overpayments Communicate with billing, coding, and collections teams regarding payment issues or trends Maintain compliance with payer contracts, company policies, and regulatory requirements Assist with month-end closing processes and reporting as needed Maintain confidentiality of patient and financial information in accordance with HIPAA regulations Support continuous process improvement initiatives within the Revenue Cycle Department Knowledge, Skills, and Abilities Strong understanding of EOBs, ERAs, CPT/ICD coding basics, and payer reimbursement methodologies Proficiency with practice management systems and electronic health records (EHR) High attention to detail and accuracy Strong analytical and problem-solving skills Ability to work in a fast-paced, high-volume environment Excellent organizational and time management skills Effective communication and teamwork abilities Proficient in Microsoft Office (Excel, Word) Key Competencies Accuracy & Attention to Detail Accountability Time Management Problem Solving Team Collaboration Compliance Awareness Supervisory Requirements This position will not supervise any other staff members. Working Conditions Primarily office-based or remote work environment (as applicable). Prolonged periods of sitting and computer use. May require occasional overtime to meet departmental deadlines. QualificationsMinimum Qualifications High school diploma or equivalent required; Associate degree preferred. Minimum of 1–2 years of experience in medical payment posting, medical billing, or revenue cycle operations. Experience in a specialty practice (urology preferred) is a plus. Preferred Qualifications Experience in a specialty practice (urology preferred).

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. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receive guidance where needed. Follow established guidelines/procedures and work special projects. Use your skills to make an impact Required Qualifications - 2 - 5 years of experience negotiating managed care contracts with physician, hospital and/or other provider contracts and/or working with insurance in a dental office - Proficiency in analyzing, understanding and communicating financial impact of contract terms, payment structures and reimbursement rates to providers. - Excellent written and verbal communication skills - Ability to manage multiple priorities in a fast-paced environment - Proficiency in MS Office applications - Hours worked with be EST/CST - This role is Variable Staffing Pool( VSP), Variable Staffing Pool Humana associates work specific hours to meet business needs on a limited term basis. Preferred Qualifications - Experience with Value Based Contracting - Experience working with Dental offices - Bachelor's degree Additional Information Work at Home Requirements - To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: - At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested - Satellite, cellular and microwave connection can be used only if approved by leadership - Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. - Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job. - Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 1 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $65,000 - $88,600 per year Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers benefits for limited term, variable schedule and per diem associates which are designed to support whole-person well-being. Among these benefits, Humana provides paid time off, 401(k) retirement savings plan, employee assistance program, business travel and accident. Application Deadline: 04-30-2026 About us About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com. ​ Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.