Medical Billing Specialist

1 week ago

Johannesburg, Gauteng, South Africa Affinity International Full time US$60 000 - US$80 000 per year
About the job Medical Billing Specialist

Overview

We are seeking a detail-oriented and dependable Medical Billing Specialist to join our growing healthcare support team. The ideal candidate will have solid experience in U.S. medical billing, claims submission, and payment reconciliation, and will be comfortable working in a fast-paced, accuracy-driven environment.

Youll play a critical role in ensuring our clients billing operations run smoothly maintaining compliance, reducing denials, and accelerating cash flow.

Key Responsibilities
  • Prepare, review, and submit medical claims to insurance companies (electronic and paper)
  • Follow up on unpaid claims and resolve denials or rejections promptly
  • Verify patient insurance coverage and benefits prior to service
  • Post payments and adjustments accurately to patient accounts
  • Reconcile accounts receivable and generate aging reports
  • Communicate with patients, providers, and insurance representatives to resolve billing inquiries
  • Maintain compliance with HIPAA and all federal, state, and payer regulations
  • Assist with month-end reporting and financial tracking as needed
  • Collaborate closely with medical coders and case managers to ensure billing accuracy
Requirements
  • Minimum 2 years of experience in U.S. medical billing and collections
  • Strong knowledge of CPT, ICD-10, and HCPCS codes
  • Experience with insurance portals, clearinghouses, and EHR systems (e.g., Availity, Kareo, Athena, DrChrono, AdvancedMD)
  • Excellent English communication skills written and verbal
  • High attention to detail and analytical problem-solving skills
  • Proficient in Excel/Google Sheets and general computer systems
  • Ability to work full-time U.S. business hours (EST)
Preferred
  • Experience with Medicare, Medicaid, and commercial payers
  • Familiarity with revenue cycle management (RCM) processes
  • Knowledge of HIPAA compliance best practices
  • Previous experience working with remote U.S. healthcare providers
  • Experience in nursing home or long-term care billing is a strong plus

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