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.
ReWorks Solutions is a remote-first company that provides staffing and business process outsourcing services, specializing in healthcare and administrative support roles. They recruit and manage distributed teams across multiple time zones, with a particular focus on healthcare operations including HMO billing, patient admissions, and clinical support. The company also serves clients in technology and AI development, recruiting senior engineers for building AI-powered applications and business automation solutions. ReWorks Solutions operates with a commitment to fraud prevention and maintains official communication exclusively through company email addresses.
