Join our team as a Billing & Eligibility Specialist supporting US-based ABA therapy services. You will assist with insurance verification, prior authorizations, and billing administration to ensure smooth operations and accurate reimbursement processes.
PLEASE NOTE:
- Working Hours: Monday - Friday | 9:00 AM - 6:00 PM EST (4:00 PM - 01:00 AM South African time - subject to daylight savings)
- 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
- Contact insurance companies to verify patient eligibility and benefits.
- Confirm and follow up on prior authorizations.
- Accurately update and maintain insurance information in the system.
- Identify and report any discrepancies or issues.
- Provide administrative support to the billing team as needed.
- Draft clear, polite, and professional communications.
- Maintain accurate records of insurance and billing activities
- Industry Experience (Required):
- Previous experience in medical billing, eligibility verification, or insurance coordination.
- Familiarity with insurance portals and authorization procedures.
- Soft Skills:
- Excellent verbal and written English communication.
- Calm, professional, and able to handle sensitive situations.
- Highly organized with attention to detail.
- Technical Skills:
- Basic computer skills, including MS Office and Outlook.
- Comfortable navigating systems to update records accurately
