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Jnr Medical Billing Representative
2 weeks ago
ISTA Personnel Solutions SA is a dynamic and fast-growing BPO company based in South Africa, specializing in providing top-tier operational support to U.S.-based organizations. We are not a recruitment agency—we are a dedicated extension of our clients' teams, delivering high-quality service with precision, efficiency, and a personal touch.
We are hiring
Our client, a U.S.-based provider of ABA therapy dedicated to delivering high-quality, compassionate services to children and families, is seeking a Junior Medical Billing Representative. In this role, you will ensure the accurate preparation, submission, and follow-up of insurance claims for healthcare and ABA therapy services. Responsibilities include verifying service documentation, entering billing data, tracking claim statuses, and assisting with basic billing discrepancy resolution to support timely reimbursement.
Working hours:
- Sunday to Thursday from 16h00pm to 01:00am (SA Time)
PLEASE NOTE:
- 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:
Claim Processing & Billing
- Prepare and submit insurance claims accurately and within required timelines.
- Enter billing and service data into billing systems with high attention to detail.
- Verify session notes, timesheets, and required documentation before claim submission
Documentation Review
- Review all service and therapist documentation for completeness and accuracy.
- Report any missing or incorrect information to the appropriate team member.
Insurance Follow-Up
- Track claim statuses and follow up on pending, denied, or returned claims.
- Assist in identifying basic errors or discrepancies that could cause claim rejection.
- Maintain accurate and up-to-date records of claim progress.
Issue Resolution
- Support the billing team in resolving simple billing errors and coding issues.
- Request additional information from internal teams when needed.
Communication & Reporting
- Communicate clearly with internal colleagues and US-based teams when clarification is required.
- Provide routine updates on claim progress, trends, or recurring issues.
- Meet all deadlines and follow required billing workflows.
Compliance & Confidentiality
- Adhere to US healthcare billing standards and company policies.
- Maintain strict confidentiality and comply with HIPAA guidelines
Requirements
- Strong attention to detail with a methodical and analytical approach to problem-solving.
- Excellent verbal and written English communication skills.
- Proficient in Microsoft Office Suite.
- Experience in BPO environments or working with US clients is an added benefit.
- Experience in medical billing, insurance processing, or revenue cycle management.
- Ability to remain patient, empathetic, and professional in all customer interactions.
If you are not contacted within 14 working days, please consider your application unsuccessful.
