Offer summary

Qualifications:

In-depth knowledge of U.S. medical billing software., Strong understanding of U.S. medical insurance policies., Exceptional English communication skills., Excellent problem-solving abilities..

Key responsabilities:

Preparing and submitting billing data and medical claims to insurance companies.

Ensuring each patient’s medical information is accurate and up to date.

Communicating with healthcare providers regarding billing practices.

Following up on unpaid claims and denials.

Job description

ISTA Personnel Solutions South Africa is a global BPO company partnering with a U.S.-based client in the healthcare sector. We are seeking an experienced and highly professional Medical Biller with a strong background in the U.S. healthcare industry to join our remote team.

To excel in this role, you must have in-depth knowledge of U.S. medical billing software and a strong understanding of U.S. medical insurance policies.

PLEASE NOTE THE FOLLOWING:

Working Hours: This role requires you to work USA hours, Mon - Fri, from 9am to 6pm EST time (16h00pm to 01h00am South African time - subject to change depending on daylight savings)
Work Environment: This is a remote role for South African Citizens only.
Internet Requirements: A fixed fibre line with a minimum speed of 25 Mbps (upload & download) and the ability to support a wired Ethernet connection is mandatory. Applicants without a fixed fibre line cannot be considered.
Power Backup: A reliable power backup solution is required to manage load shedding and power outages. Applicants without a power backup cannot be considered.

Responsibilities:

Preparing and submitting billing data and medical claims to insurance companies
Ensuring each patient’s medical information is accurate and up to date
Preparing bills and invoices and document amounts due to medical procedures and services
Verify insurance coverage and eligibility
Communicate with healthcare providers regarding billing practices
Follow up on unpaid claims and denials
Ensure compliance with healthcare industry regulations and guidelines
Maintain patient confidentiality and privacy
Maintain accurate records on customer interactions, transaction, feedback, etc.
Collaborate with colleagues and different departments to resolve complex issues
Provides customer support through different communication channels (Phone, email, chat)
Resolve issues & accommodate customer inquiries to ensure satisfaction with products or services