Medical Billing Specialist
full-time•South Africa
About this role
Job Opening: Medical Billing Specialist
Location: South Africa (Remote – US Hours)
Type: Full-Time, Work from Home
Hours: Monday to Friday: 9am- 5pm (US Hours)
Pay: Monthly USD Salary
Job Summary:
We are seeking a detail-oriented and experienced Medical Billing Specialist with a strong background in ABA therapy billing. The successful candidate will manage the end-to-end billing process, ensuring accurate claim submissions, payment postings, and resolution of denied claims for ABA therapy services. Familiarity with insurance verification, CPT codes for ABA, and Medicaid/insurance guidelines is essential.
Key Responsibilities:
- Verify client insurance eligibility and benefits specific to ABA therapy.
- Accurately prepare and submit insurance claims (electronic and paper) for ABA services.
- Review and correct billing errors and ensure compliance with payer requirements.
- Post payments and reconcile insurance and patient accounts.
- Follow up on unpaid or denied claims; appeal and resolve denials in a timely manner.
- Communicate with insurance companies, clients, and internal teams regarding billing issues.
- Maintain patient confidentiality and adhere to HIPAA regulations.
- Generate patient statements and manage collections process as needed.
- Stay updated with billing codes and payer-specific rules.
- Assist in monthly reporting and analysis of billing performance and revenue cycle metrics.
Qualifications:
- Minimum 2 years of experience in medical billing, with a strong preference for ABA billing.
- Proficient in using billing software and electronic health records.
- Knowledge of ABA-specific CPT codes and insurance procedures.
- Strong understanding of payer guidelines including Medicaid, commercial insurance, and managed care.
- Excellent attention to detail, organizational, and time management skills.
- Effective communication and problem-solving abilities
Preferred Skills:
- Familiarity with insurance authorizations and re-authorizations.
- Experience in multi-state billing or handling multiple payers.
- Knowledge of HIPAA and other healthcare compliance standards
- Fluent or neutral English accent
- Reliable internet and backup power
Salary and Benefits
- Comfortable working U.S. hours
- Remote work
- Paid in USD
What you'll do
- The Medical Billing Specialist will manage the end-to-end billing process for ABA therapy services, ensuring accurate claim submissions and resolution of denied claims. Responsibilities include verifying insurance eligibility, preparing claims, posting payments, and maintaining compliance with payer requirements.
About ReWorks Solutions
At ReWorks Solutions, we help businesses scale smarter by blending cost-effective outsourcing with high-performance teams and strategic operations. We don’t just fill positions—we handpick top talent and seamlessly integrate them into your workflow, ensuring efficiency, quality, and real results.
Our proven process streamlines operations, reduces costs, and boosts productivity, giving U.S. and international businesses access to highly skilled professionals without compromising on quality. Whether you need a dedicated remote team or specialized support, we tailor our solutions to fit your business needs.
Why Choose Us?
✅ Top-Tier Talent: We carefully curate professionals who match your company’s culture and expertise requirements.
✅ Cost-Effective Solutions: Reduce overhead costs without sacrificing quality or efficiency.
✅ Seamless Integration: We make outsourcing easy, ensuring smooth collaboration with your in-house team.
✅ Scalable & Flexible: Whether you need a small team or a full-scale operation, we grow with your business.
✅ Results-Driven Approach: We focus on real impact—helping you optimize operations and achieve your goals.
Let’s Build Your Dream Team!
Ready to unlock the power of smart outsourcing? Connect with us today and let’s build a high-performing, cost-efficient team that drives your business forward.
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Frequently Asked Questions
What does a Medical Billing Specialist do at ReWorks Solutions?
As a Medical Billing Specialist at ReWorks Solutions, you will: the Medical Billing Specialist will manage the end-to-end billing process for ABA therapy services, ensuring accurate claim submissions and resolution of denied claims. Responsibilities include verifying insurance eligibility, preparing claims, posting payments, and maintaining compliance with payer requirements..
Is the Medical Billing Specialist position at ReWorks Solutions remote?
The Medical Billing Specialist position at ReWorks Solutions is based in South Africa, South Africa. Contact the company through Clera for specific work arrangement details.
How do I apply for the Medical Billing Specialist position at ReWorks Solutions?
You can apply for the Medical Billing Specialist position at ReWorks Solutions directly through Clera. Click the "Apply Now" button above to start your application. Clera's AI-powered platform will help match your profile with this opportunity and guide you through the application process.