Billing Assistant

Job Title: Billing Assistant

Location: South Africa

Job Type: Full-Time, Remote

Working Hours: US Hours (9am-5pm EST)

Salary: South African Rand (ZAR)

Responsibilities:

• Conduct internal audits of services prior to claim submission to identify errors, inconsistencies, or missing information
• Research discrepancies by reviewing documentation, scheduling data, authorizations, and payer requirements
• Communicate with providers and internal team members to clarify services delivered and ensure claims reflect accurate clinical activity
• Make necessary corrections or adjustments within the practice management system to finalize clean claims
• Apply payer-specific and state-specific billing rules to ensure compliance and prevent denials
• Demonstrate an understanding of underlying billing rules and regulatory intent to appropriately resolve new or uncommon scenarios
• Review Explanation of Benefits (EOBs), Electronic Remittance Advice (ERA), and bank deposit information to accurately post payer payments
• Reconcile posted payments against deposit totals and identify discrepancies or underpayments
• Flag potential payer issues, trends, or inconsistencies for escalation
• Maintain accurate financial records within the billing system
• Generate and correct patient invoices as needed
• Follow up with patients or responsible parties regarding outstanding balances
• Document outreach attempts and payment arrangements
• Support timely resolution of patient balances to improve overall accounts receivable performance

Requirements

• Bachelor’s degree (BA/BS) highly preferred
• Previous experience in medical billing, claims auditing, revenue cycle management, accounts receivable, payment posting, or healthcare administration required
• Strong understanding of claim auditing and claim-cleaning processes required
• Ability to review documentation, authorizations, scheduling records, and payer requirements to identify claim discrepancies
• Experience reviewing EOBs and ERAs preferred
• Strong attention to detail and analytical skills required
• Strong communication and problem-solving abilities required
• Ability to interpret payer-specific and state-specific billing guidelines
• Experience working with billing software or practice management systems preferred
• Ability to manage multiple tasks and deadlines in a fast-paced environment
• Ability to work independently in a remote environment
• Reliable internet connection and a suitable home office setup

Preferred Experience

• Experience with ABA billing codes and authorization structures
• Multi-state or multi-payer billing experience
• Experience posting payments and reconciling deposits
• Familiarity with denial prevention and claims auditing workflows
• Experience using medical billing software and practice management systems
• Experience working with US healthcare insurance payers and reimbursement processes

Benefits

1. Comfortable working U.S. hours
2. Remote work from home

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