Billing and Authorizations
Remote · South Africa
Job Summary
Billing and Authorizations Specialist responsible for end-to-end insurance billing, claims submission, and authorization management within a healthcare ABA setting. Duties include submitting, tracking, and renewing authorizations; following up on outstanding claims, denials, and payments; investigating billing discrepancies; monitoring authorization utilization; maintaining accurate records; generating reports on billing, authorizations, and claims; identifying workflow inefficiencies and driving process improvements; and collaborating with internal teams to meet insurance and billing requirements. The role supports remote work with US business hours (9am-5pm EST) and is based from South Africa.
Required Qualifications
- Significant experience in insurance billing, claims management, and authorizations within a healthcare setting
- Experience working with ABA services, behavioral health, or medical billing is highly preferred
- Strong understanding of insurance payors, authorization requirements, and claims processing
- Self-motivated with the ability to take initiative and solve problems independently
- Highly organized with exceptional attention to detail
- Strong communication and follow-up skills when working with insurance representatives and internal stakeholders
- Tech-savvy and comfortable learning new software, systems, and reporting tools
- Proficient in Microsoft Office, particularly Excel
- Ability to manage multiple priorities in a fast-paced environment
Desired Qualifications
- Bachelor's degree or equivalent preferred
- Experience with insurance billing, claims management, and authorizations
- Experience in ABA services, behavioral health, or medical billing preferred
- Strong communication and follow-up skills with insurance representatives
- Tech-savvy with proficiency in Microsoft Office, especially Excel
- Ability to manage multiple priorities in a fast-paced environment
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