Billing & Eligibility Specialist (US Healthcare/ABA Therapy) - EST Hrs (Remote)

1 week ago

Pretoria, Gauteng, South Africa ISTA Solutions Full time R250 000 - R450 000 per year

ISTA Personnel Solutions is a dynamic and fast-growing BPO company. We are not a recruitment agency - we operate as a dedicated extension of our clients' teams, delivering high-quality service with precision, efficiency, and a personal touch.

Join our team as a Billing & Eligibility Specialist supporting US-based ABA therapy services. You will assist with insurance verification, prior authorizations, and billing administration to ensure smooth operations and accurate reimbursement processes.

PLEASE NOTE:

  • Working Hours: Monday - Friday | 9:00 AM - 6:00 PM EST (4:00 PM - 01:00 AM South African time - subject to daylight savings)
  • Public Holidays: This role requires working on both South African and U.S. public holidays (compensation for SA public holidays in accordance with the BCEA)
  • Internet Requirements: A fixed fibre line with a minimum speed of 25 Mbps (upload & download) and wired Ethernet capability is mandatory. Applicants without a fixed fibre line cannot be considered
  • Power Backup: Reliable backup required to manage load shedding or outages. Applicants without a power backup cannot be considered
  • Work Environment: Fully remote

Job Responsibilities:

  • Contact insurance companies to verify patient eligibility and benefits.
  • Confirm and follow up on prior authorizations.
  • Accurately update and maintain insurance information in the system.
  • Identify and report any discrepancies or issues.
  • Provide administrative support to the billing team as needed.
  • Draft clear, polite, and professional communications.
  • Maintain accurate records of insurance and billing activities

Requirements

  • Industry Experience (Required):

  • Previous experience in medical billing, eligibility verification, or insurance coordination.

  • Familiarity with insurance portals and authorization procedures.

  • Soft Skills:

  • Excellent verbal and written English communication.

  • Calm, professional, and able to handle sensitive situations.

  • Highly organized with attention to detail.

  • Technical Skills:

  • Basic computer skills, including MS Office and Outlook.

  • Comfortable navigating systems to update records accurately

If you are not contacted within 14 working days, please consider your application unsuccessful.

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