Authorisation Specialist- TALENT POOL
RemoteSouth Africa
Job Summary
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 while communicating with healthcare providers, payers, and patients to resolve billing and authorization issues. Maintain accurate records within EHR and billing systems, monitor authorization approvals and denials to resolve discrepancies, and support billing audits and reconciliation processes to ensure revenue integrity. Requires an Associate's degree in healthcare administration or related field, at least two years of experience in medical billing and authorization, proficiency with billing software and EHR systems, and strong knowledge of medical terminology and coding standards. Remote work from home with US hours (9am-5pm EST).
Required Qualifications
- 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
Desired Qualifications
- Associate's degree in healthcare administration, medical billing, or related field preferred
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