Authorisation Specialist- TALENT POOL

Job Title: Authorizations Specialist/Billing Job Type: Full-Time, Remote (US Hours: 9am-5pm EST) Salary: Paid in South African Rands (ZAR) Key Responsibilities • Manage prior authorization requests ensuring timely and accurate processing to support patient care delivery. • Prepare, submit and follow up on medical billing claims to insurance companies and patients. • Communicate with healthcare providers, insurance payers, and patients to resolve billing and authorization issues. • Maintain accurate records within EHR and billing systems, ensuring compliance with payer policies and regulations. • Monitor authorization approvals and denials, taking appropriate action to resolve discrepancies. • Support billing audits and reconciliation processes to ensure revenue integrity. Requirements • Associate's degree in healthcare administration, medical billing, or related field preferred. • At least 2 years of experience in medical billing and authorization processes. • Proficiency with billing software, electronic health records (EHR), and Microsoft Office Suite. • Strong understanding of medical terminology, coding (CPT, ICD-10), and insurance policies. • Excellent organizational skills with high attention to detail. • Strong communication skills to collaborate effectively with multiple stakeholders. • Ability to work independently in a remote, fast-paced environment. Benefits • Comfortable working U.S. hours • Remote work from home Fraud Disclaimer: ReWorks Solutions will never request payment during recruitment or require in-person office visits. All official communication will come from a ReWorks Solutions email address. Please verify any suspicious messages with our team directly. Originally posted on Himalayas