ISTA Personnel Solutions South Africa is a global BPO company partnering with a U.S.-based client in the healthcare sector. We are seeking an experienced and highly professional Medical Biller with a strong background in the U.S. healthcare industry to join our remote team.
To excel in this role, you must have in-depth knowledge of U.S. medical billing software and a strong understanding of U.S. medical insurance policies.
PLEASE NOTE THE FOLLOWING:
- Working Hours: This role requires you to work USA hours, Mon - Fri, from 9am to 6pm EST time (16h00pm to 01h00am South African time - subject to change depending on daylight savings)
- Work Environment: This is a fully 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.
Responsibilities:
- Preparing and submitting billing data and medical claims to insurance companies
- Ensuring each patient’s medical information is accurate and up to date
- Preparing bills and invoices and document amounts due to medical procedures and services
- 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, transaction, feedback, etc.
- Collaborate with colleagues and different departments to resolve complex issues
- Provides customer support through different communication channels (Phone, email, chat)
- Resolve issues & accommodate customer inquiries to ensure satisfaction with products or services
