Job Description

ISTA Personnel Solutions South Africa is a global BPO company partnering with a U.S.-based client in the healthcare sector. We are seeking an experienced and highly professional Medical Biller with a strong background in the U.S. healthcare industry to join our remote team.

To excel in this role, you must have in-depth knowledge of U.S. medical billing software and a strong understanding of U.S. medical insurance policies.

PLEASE NOTE THE FOLLOWING:

• Working Hours: This role requires you to work _ USA hours, _ Mon - Fri, from 9am to 6pm EST time (16h00pm to 01h00am South African time - subject to change depending on daylight savings)
• Work Environment: This is a remote role for South African Citizens only.
• Internet Requirements: A fixed fibre line with a minimum speed of 25 Mbps (upload & download) and the ability to support a wired Ethernet connection is mandatory. Applicants without a fixed fibre line cannot be considered.
• Power Backup: A reliable power backup solution is required to manage load shedding and power outages . Applicants without a power backup cannot be considered.

Responsibilities:

• Preparing and submitting billing data and medical claims to insurance companies

• Ensuring each patient’s medical information is accurate and up to date

• Preparing bills and invoices and document amounts due to medical procedures and services

• Verify insurance coverage and eligibility

• Communicate with healthcare providers regarding billing practices

• Follow up on unpaid claims and denials

• Ensure compliance with healthcare industry regulations and guidelines

• Maintain patient confidentiality and privacy

• Maintain accurate records on customer interactions, transaction, feedback, etc.

• Collaborate with colleagues and different departments to resolve complex issues

• Provides customer support through different communication channels (Phone, email, chat)

• Resolve issues & accommodate customer inquiries to ensure satisfaction with products or services

Requirements

What we are looking for in a candidate:

• Exceptional English communication skills;
• Strong work ethic;
• A fast learner;
• Excellent problem-solving abilities.

If you are not contacted within 14 working days, please consider your application unsuccessful.

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