Medical Billing Administrator
RemoteSouth Africa
Job Summary
Prepare, review, and submit accurate medical claims to insurance providers and government healthcare programs while monitoring their progress through to payment. Investigate and resolve rejected, denied, or unpaid claims, submitting corrected appeals where necessary to ensure timely reimbursement. Maintain accurate provider, patient, and billing records, verifying documentation for completeness before submission and resolving discrepancies. Liaise with insurance companies, governing agencies, and healthcare providers regarding billing enquiries, ensuring all activities comply with regulations and company policies. Maintain organized billing files and support internal audits and quality assurance processes.
Required Qualifications
- Minimum 1 year of medical billing experience
- Previous experience working within the healthcare industry
- Understanding of medical billing processes and the revenue cycle
- Excellent attention to detail
- Organisational skills
- Ability to manage multiple priorities and meet deadlines
- Strong communication skills
- Problem-solving skills
- Ability to work independently
- Ability to work as part of a team
- Comfortable working in a fast-paced, growing environment
- Comfortable working U.S. hours
Desired Qualifications
- Knowledge of the credentialing process
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