Billing Assistant
from 🇿🇦 South Africa
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
- 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
- Comfortable working U.S. hours
- Remote work from home
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