Billing Assistant

This is a fully remote position, open to applicants in South Africa.

📋 Description

• Perform internal audits of services before claim submission to detect errors, inconsistencies, or missing information.

• Investigate discrepancies by examining documentation, scheduling data, authorizations, and payer requirements.

• Collaborate with providers and internal team members to clarify delivered services and ensure claims accurately reflect clinical activities.

• Make necessary corrections or adjustments in the practice management system to finalize clean claims.

• Implement payer-specific and state-specific billing rules to ensure compliance and minimize denials.

• Exhibit an understanding of underlying billing rules and regulatory intent to effectively resolve new or unusual scenarios.

• Review Explanation of Benefits (EOBs), Electronic Remittance Advice (ERA), and bank deposit information to accurately post payments from payers.

• Reconcile posted payments with deposit totals and identify discrepancies or underpayments.

• Highlight potential payer issues, trends, or inconsistencies for further escalation.

• Maintain precise financial records within the billing system.

• Generate and amend patient invoices as necessary.

• Follow up with patients or responsible parties regarding outstanding balances.

• Document outreach efforts and payment arrangements.

• Aid in the timely resolution of patient balances to enhance overall accounts receivable performance.

⛳️ Requirements

• Bachelor’s degree (BA/BS) is highly preferred.

• Prior experience in medical billing, claims auditing, revenue cycle management, accounts receivable, payment posting, or healthcare administration is required.

• A strong understanding of claim auditing and claim-cleaning processes is required.

• Ability to review documentation, authorizations, scheduling records, and payer requirements to identify claim discrepancies.

• Experience reviewing EOBs and ERAs is preferred.

• Strong attention to detail and analytical skills are essential.

• Excellent communication and problem-solving abilities are required.

• Ability to interpret payer-specific and state-specific billing guidelines.

• Experience with billing software or practice management systems is preferred.

• Capability to manage multiple tasks and meet deadlines in a fast-paced environment.

• Ability to work independently in a remote setting.

• A reliable internet connection and a suitable home office setup are necessary.

• Preferred Experience includes:

• Experience with ABA billing codes and authorization structures.

• Multi-state or multi-payer billing experience.

• Experience in posting payments and reconciling deposits.

• Familiarity with denial prevention and claims auditing workflows.

• Experience using medical billing software and practice management systems.

• Experience interacting with U.S. healthcare insurance payers and reimbursement processes.

🏝️ Benefits

• Comfortable working U.S. hours.

• Remote work from home.