πWorldwide
Physician Medical Billing Specialist

ISTA Solutions
πRemote - South Africa
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Summary
Join I STA Personnel Solutions South Africa, a dynamic BPO company, as a Physician Medical Billing Specialist! This critical role requires a minimum of 2 years of hands-on experience in U.S. Physician Medical Billing (Professional Billing, not Long-Term Care). You will execute the full end-to-end billing cycle for professional healthcare services, requiring strong knowledge of U.S. physician billing standards and proficiency in CPT, ICD-10, and HCPCS codes. This remote position is for South African citizens only and requires specific internet and power backup solutions. The role demands accuracy, attention to detail, and excellent communication skills. No training is provided; prior experience is essential.
Requirements
- Minimum 2 years of experience in U.S. Physician/Professional Medical Billing
- Strong knowledge of CPT, ICD-10, and HCPCS codes
- Familiarity with U.S. healthcare insurance payers, including denials and appeals
- Experience using medical billing software systems
- Proven ability to work independently with minimal supervision
- High level of accuracy, attention to detail, and problem-solving skills
- Excellent written and verbal communication
Responsibilities
- Handle the complete end-to-end physician billing process for professional healthcare services
- Apply accurate CPT, ICD-10, and HCPCS coding
- Submit clean claims to payers, follow up on denials, and manage appeals
- Work with U.S. insurance companies and understand reimbursement workflows
- Use billing software systems to manage and process claims efficiently
- Maintain thorough documentation and uphold compliance standards
- Identify and resolve billing discrepancies independently
Preferred Qualifications
- Prior experience supporting U.S. healthcare providers or billing companies
- Knowledge of compliance requirements and best practices in U.S. billing
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