Authorisation Specialist- TALENT POOL

Job Title: Authorizations Specialist/Billing

Job Type: Full-Time, Remote (US Hours: 9am-5pm EST)

Salary: Paid in South African Rands (ZAR)

Key Responsibilities

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.

Communicate with healthcare providers, insurance payers, and patients to resolve billing and authorization issues.

Maintain accurate records within EHR and billing systems, ensuring compliance with payer policies and regulations.

Monitor authorization approvals and denials, taking appropriate action to resolve discrepancies.

Support billing audits and reconciliation processes to ensure revenue integrity.

Requirements

Associate's degree in healthcare administration, medical billing, or related field preferred.

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.

Benefits

Comfortable working U.S. hours

Remote work from home

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Originally posted on Himalayas