Case Manager
3 weeks ago
Case Manager (Skilled Nursing Facilities) - EST hours (Remote) STA Personnel Solutions South Africa - we are a global BPO company, partnering with a USA-based client offering Billing and Accounts Receivable Management Services in the Healthcare Sector, and are seeking a Case Manager with Skilled Nursing Facilities experience. This role requires a minimum of 1-year experience in the USA Healthcare Industry, with strong knowledge of medical billing (claims), initial authorization processing (In-patient) and case management (reviewing clinicals) and MS Office. Working Hours: This role requires you to work USA hours Mon - Fri from 9am to 6pm EST (15h00pm to midnight South Africa time, however these hours are subject to change depending on daylight savings). Work Environment: This is a remote working role 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. Key Responsibilities Manage healthcare accounts, ensuring seamless claims processing and authorizations Oversee accurate and timely medical billing processes, including coding for services Review clinicals for case management and coordinate approvals Follow up on claims, resolve denials, and liaise with insurance providers Work closely with clinical, administrative, and financial teams to support seamless patient care and billing processes Utilize MS Office (Excel, PDF, Outlook) for reporting and documentation Ensure compliance with billing policies and healthcare regulations Requirements Minimum of 1 year of experience in US healthcare settings, with a strong focus on medical billing, coding (CPT, ICD-10), and case management Sound knowledge of HIPAA regulations Strong analytical skills and good judgment Highly detail-oriented and precise Efficient in managing and prioritizing emails Excellent communication, problem-solving, and organizational abilities Follows established processes with accuracy Understands processes with the ability to exercise good judgement in taking appropriate next steps If you are not contacted within 14 working days, please consider your application unsuccessful. Seniority level Entry level Employment type Full-time Job function Administrative Industries IT Services and IT Consulting #J-18808-Ljbffr
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Remote Case Manager
4 weeks ago
WorkFromHome, South Africa Ista Solutions Full timeA global BPO company is seeking an Entry-Level Case Manager with experience in Skilled Nursing Facilities. This remote role focuses on medical billing, claims processing, and case management. Candidates must have at least 1 year of experience in the US healthcare sector and strong knowledge of HIPAA regulations. Essential skills include attention to detail...
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Registered Nurse Pediatric Clinical Research
3 weeks ago
WorkFromHome, South Africa Professional Case Management Full timeOverview Registered Nurse Pediatric Clinical Research position. Location: UT – St George. Job type: Part time, per diem/PRN. Posted Yesterday. Make a Difference on Your Own Schedule and Terms! The Certified Mobile Research Nurse (CMRN) is a Registered Nursing per diem/PRN position for EmVenio. Responsibilities Make a difference on your own schedule and...
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Global Connect Direct Affiliate
4 weeks ago
WorkFromHome, South Africa Lyra Health Full timeGlobal Connect Direct Affiliate & Case Management Manager Lyra Health is the leading provider of mental health solutions for employers supporting more than 20 million people globally. The company has delivered 13 million sessions of mental health care, published more than 20 peer‑reviewed studies, and delivered unmatched outcomes in terms of access,...
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Global Direct Affiliate
4 weeks ago
WorkFromHome, South Africa Lyra Health Full timeA leading mental health solutions provider is seeking a Global Connect Direct Affiliate & Case Management Manager in South Africa. The role involves overseeing clinical case management teams, ensuring service quality, and leading staff performance while utilizing advanced technology. Candidates must have a Master’s qualification in Psychology or equivalent...
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WorkFromHome, South Africa Somewhere Full timeA legal staffing company is seeking a Probate Paralegal to facilitate the management of probate cases within its remote team. The ideal candidate will have a solid background in California probate law and be adept at drafting legal documents. Responsibilities include handling court filings, managing case deadlines, and conducting relevant legal research....
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Global Connect Direct Affiliate
4 weeks ago
WorkFromHome, South Africa Lyra Health, Inc. Full timeAbout Lyra Health Lyra Health is the leading provider of mental health solutions for employers supporting more than 20 million people globally. The company has delivered 13 million sessions of mental health care, published more than 20 peer-reviewed studies, and delivered unmatched outcomes in terms of access, clinical effectiveness and cost efficiency....
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Global Direct Affiliate
4 weeks ago
WorkFromHome, South Africa Lyra Health, Inc. Full timeA leading mental health services provider in Cape Town is seeking a Global Connect Direct Affiliate & Case Management Manager. This role involves overseeing daily operations, improving service delivery, and leading a team in a remote environment. The ideal candidate has extensive leadership experience in a mental health setting and a Master's qualification....
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Case Manager
3 weeks ago
WorkFromHome, South Africa ISTA Solutions Full timeOverview Case Manager & Billing (USA Healthcare) - EST hours (Remote) ISTA Personnel Solutions, South Africa - we are a global BPO company, partnering with a USA-based client offering Billing and Accounts Receivable Management Services in the Healthcare Sector, and are seeking a Healthcare Case Manager & Billing Lead with USA experience . Experience : This...
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WorkFromHome, South Africa Elevance Health Full timeA healthcare company is looking for a Medical Management Nurse to work virtually full-time, responsible for reviewing complex cases and collaborating with healthcare providers. Candidates should have at least an associate's degree in nursing, along with significant managed care experience and a valid RN license. This role supports flexible work-life...
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Strategic Product Manager, CASE – Coatings
2 weeks ago
WorkFromHome, South Africa Brenntag Full timeA chemical manufacturing firm in South Africa is seeking a Product Manager for its CASE segment. This role involves strategic management of the product portfolio, focusing on profitability, supplier relationships, and growth opportunities. The ideal candidate will have 5–7 years of experience in product management or marketing within the paint and coatings...
