Billing and Authorizations

Job Title: Billing and Authorizations Specialist

Location: South Africa

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

Position Overview
We are seeking an experienced Billing & Authorizations Specialist to join our growing ABA team. This role is ideal for a proactive, tech-savvy professional who has extensive experience working with insurance providers, billing processes, and authorizations. The successful candidate will take ownership of the insurance and billing workflow, identify opportunities for improvement, and ensure all claims and authorizations are processed efficiently and accurately.

Key Responsibilities

• Manage all aspects of insurance billing, claims submission, and authorization processes.
• Submit, track, and renew insurance authorizations to ensure uninterrupted client services.
• Follow up with insurance companies regarding outstanding claims, denials, and payment delays.
• Investigate and resolve billing discrepancies and authorization issues.
• Monitor authorization utilization and proactively address expiring or exhausted authorizations.
• Maintain accurate and up-to-date records within company systems.
• Generate reports related to billing, authorizations, and claims status.
• Identify process inefficiencies and take initiative to improve workflows and outcomes.
• Collaborate with internal teams to ensure all insurance and billing requirements are met.

Requirements

• Significant experience in insurance billing, claims management, and authorizations within a healthcare setting.
• Experience working with ABA services, behavioral health, or medical billing is highly preferred.
• Strong understanding of insurance payors, authorization requirements, and claims processing.
• Self-motivated with the ability to take initiative and solve problems independently.
• Highly organized with exceptional attention to detail.
• Strong communication and follow-up skills when working with insurance representatives and internal stakeholders.
• Tech-savvy and comfortable learning new software, systems, and reporting tools.
• Proficient in Microsoft Office, particularly Excel.
• Ability to manage multiple priorities in a fast-paced environment.

Benefits

1. Comfortable working U.S. hours
2. 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.