Healthcare Data Specialist

4 days ago


Johannesburg, Gauteng, South Africa ISTA Solutions Full time

Ista Solutions South Africa is a global BPO company partnering with a U.S.-based healthcare client.

We are seeking a skilled and detail-oriented Healthcare Data Specialist to join our remote team.

About the Role:
  • This position requires expertise in U.S. medical billing software and a thorough understanding of U.S. medical insurance policies.
  • You will be responsible for preparing and submitting billing data and medical claims to insurance companies, ensuring each patient's medical information is accurate and up-to-date.
  • Your tasks will include preparing bills and invoices, documenting amounts due to medical procedures and services, verifying insurance coverage and eligibility, and communicating with healthcare providers regarding billing practices.
Key Responsibilities:
  • Prepare and submit billing data and medical claims to insurance companies.
  • 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, transactions, feedback, etc.
What We Are Looking For:
  • Exceptional English communication skills.
  • Strong work ethic.
  • A fast learner.
  • Excellent problem-solving abilities.


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