Medical Billing Specialist

Summary

Join STA Personnel Solutions South Africa and partner with our US-based client as a Medical Billing Specialist. This remote role, open to South African citizens only, requires working US hours (9 am to 6 pm EST). You will be responsible for verifying patient benefits, reviewing bills for accuracy, following up on claims, and contacting insurance companies. Exceptional English communication skills, problem-solving abilities, and a strong work ethic are essential. A stable internet connection (25 Mbps minimum) and power backup are mandatory due to the remote nature of the position and potential power outages.

Requirements

• Possess sophisticated and exceptional English communication skills
• Demonstrate a strong work ethic
• Be a fast learner with strong problem-solving skills
• Be a critical thinker, particularly when interpreting insurance details and making informed decisions
• Ability to remain calm under pressure
• Ability to display empathy and patience in addressing customer concerns
• Be a South African Citizen
• Possess a fixed fibre line with a minimum speed of 25 Mbps for both upload and download, capable of supporting a wired Ethernet connection
• Have a power backup solution to manage loadshedding or power outages

Responsibilities

• Perform eligibility and benefits verification for treatments, hospitalizations, and procedures
• Reviewing patient bills for accuracy and completeness and obtaining any missing information
• Following up on unpaid/denied claims within the standard billing cycle timeframe
• Calling insurance companies regarding any discrepancy in payments if necessary
• Securing authorizations from insurance providers
• Identifying and billing secondary or tertiary insurances
• Provides customer support through different communication channels (Phone, email, chat)
• Resolve issues & accommodate customer inquiries to ensure satisfaction with products or services
• Maintain accurate records on customer interactions, transaction, feedback, etc

Preferred Qualifications

Familiarity with US Healthcare Insurance (Medicare, Medicaid)