ISTA Personnel Solutions was looking for a Jnr Medical Billing Representative (USA Healthcare/ABA Therapy) - EST (Remote)

A pioneering operational support organization based in South Africa is expanding its team. We are a committed partner to U.S.-based enterprises, delivering exceptional service with precision and dedication. We are actively recruiting! Our client, a U.S.-based ABA therapy provider committed to compassionate pediatric services, is seeking a Junior Medical Billing Representative. This role involves meticulous preparation, submission, and follow-up of insurance claims for healthcare services. Responsibilities encompass verifying documentation, entering billing data, tracking claim statuses, and supporting billing discrepancy resolution to facilitate timely reimbursement. Working hours: - Sunday to Thursday from 16h00pm to 01:00am (SA Time) IMPORTANT CONSIDERATIONS: - Public Holidays: Role requires working on both South African and U.S. public holidays (compensation per BCEA). - Internet Requirements: Fixed fibre line with minimum 25 Mbps (upload & download) and wired Ethernet mandatory. - Power Backup: Reliable backup required to manage load shedding or outages. - Work Environment: Fully remote. Job Responsibilities: Claim Processing & Billing - Prepare and submit insurance claims accurately within timelines. - Enter billing and service data into systems with precision. - Verify session notes, timesheets, and documentation pre-submission. Documentation Review - Review service and therapist documentation for completeness. - Report missing or incorrect information to appropriate team members. Insurance Follow-Up - Track claim statuses and pursue pending, denied, or returned claims. - Assist in identifying potential claim rejection errors. - Maintain accurate claim progress records. Issue Resolution - Support billing team in resolving basic errors and coding issues. - Request additional information from internal teams. Communication & Reporting - Communicate clearly with colleagues and U.S.-based teams. - Provide routine updates on claim progress and trends. - Meet deadlines and follow billing workflows. Compliance & Confidentiality - Adhere to U.S. healthcare billing standards and organizational policies. - Maintain strict confidentiality and HIPAA compliance. Requirements: - Strong attention to detail with analytical problem-solving approach. - Excellent verbal and written English communication. - Proficient in Microsoft Office Suite. - BPO or U.S. client experience preferred. - Medical billing or insurance processing background beneficial. - Patient, empathetic, and professional customer interaction skills. If not contacted within 14 working days, consider application unsuccessful.