Medical Billing Specialist

Johannesburg, GP, ZA, South Africa

Job Description

Overview




We are seeking a

detail-oriented and dependable Medical Billing Specialist

to join our growing healthcare support team. The ideal candidate will have solid experience in U.S. medical billing, claims submission, and payment reconciliation, and will be comfortable working in a fast-paced, accuracy-driven environment.


Youll play a critical role in ensuring our clients billing operations run smoothly maintaining compliance, reducing denials, and accelerating cash flow.

Key Responsibilities



Prepare, review, and submit medical claims to insurance companies (electronic and paper) Follow up on unpaid claims and resolve denials or rejections promptly Verify patient insurance coverage and benefits prior to service Post payments and adjustments accurately to patient accounts Reconcile accounts receivable and generate aging reports Communicate with patients, providers, and insurance representatives to resolve billing inquiries Maintain compliance with HIPAA and all federal, state, and payer regulations Assist with month-end reporting and financial tracking as needed Collaborate closely with medical coders and case managers to ensure billing accuracy

Requirements



Minimum

2 years of experience

in U.S. medical billing and collections Strong knowledge of

CPT, ICD-10, and HCPCS codes

Experience with insurance portals, clearinghouses, and EHR systems (e.g., Availity, Kareo, Athena, DrChrono, AdvancedMD) Excellent English communication skills written and verbal High attention to detail and analytical problem-solving skills Proficient in Excel/Google Sheets and general computer systems Ability to work

full-time U.S. business hours (EST)


Preferred



Experience with

Medicare, Medicaid, and commercial payers

Familiarity with

revenue cycle management (RCM)

processes Knowledge of

HIPAA

compliance best practices Previous experience working with

remote U.S. healthcare providers

*

Experience in nursing home or long-term care billing

is a strong plus

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Job Detail

  • Job Id
    JD1571283
  • Industry
    Not mentioned
  • Total Positions
    1
  • Job Type:
    Full Time
  • Salary:
    Not mentioned
  • Employment Status
    Permanent
  • Job Location
    Johannesburg, GP, ZA, South Africa
  • Education
    Not mentioned