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 Fraud Disclaimer: ReWorks Solutions will never request payment during recruitment or require in-person office visits. All official communication will come from a ReWorks Solutions email address. Please verify any suspicious messages with our team directly. Originally posted on Himalayas