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This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Billing and Authorizations in South Africa.
This role offers an exciting opportunity to take ownership of critical insurance billing and authorization processes within a fast-growing healthcare-focused environment. You will play a key role in ensuring seamless service delivery by managing claims, authorizations, and payer communications with accuracy and efficiency. Working remotely while collaborating with international teams, you will help optimize workflows, resolve complex billing issues, and maintain operational excellence. The position is ideal for a detail-oriented professional who thrives in a fast-paced setting, enjoys problem-solving, and is passionate about improving processes that directly impact client care and business performance.
Accountabilities:
- Manage end-to-end insurance billing operations, including claims submission, tracking, reconciliation, and payment follow-up.
- Submit, monitor, renew, and maintain insurance authorizations to ensure uninterrupted client services.
- Investigate and resolve claim denials, billing discrepancies, payment delays, and authorization-related issues.
- Monitor authorization utilization and proactively address expiring, exhausted, or incomplete authorizations.
- Maintain accurate records and documentation within internal systems and databases.
- Generate and analyze reports related to claims status, billing performance, and authorization activity.
- Collaborate with internal stakeholders to ensure compliance with billing requirements and insurance guidelines.
- Identify workflow inefficiencies and recommend process improvements to enhance operational effectiveness and outcomes.
Requirements:
- Significant experience in insurance billing, claims management, and authorization processes within a healthcare environment.
- Previous experience with ABA services, behavioral health, or medical billing is highly preferred.
- Strong understanding of insurance payers, authorization requirements, reimbursement procedures, and claims processing workflows.
- Proven ability to work independently, take initiative, and resolve complex billing or authorization issues.
- Excellent organizational skills with exceptional attention to detail and accuracy.
- Strong communication and relationship-management abilities when interacting with insurance providers and internal teams.
- Advanced proficiency with Microsoft Office, particularly Excel, and comfort learning new systems and technologies.
- Ability to manage multiple priorities effectively in a dynamic, deadline-driven environment.
- Strong analytical and problem-solving skills with a proactive mindset.
Benefits:
- Fully remote work opportunity based in South Africa.
- Stable full-time position with exposure to international healthcare operations.
- Opportunity to work with a growing and collaborative team.
- Flexible home-based work environment.
- Professional growth and development opportunities.
- Exposure to advanced healthcare billing and authorization processes.
- Consistent work schedule aligned with U.S. business hours (9:00 AM – 5:00 PM EST).
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