Medical Biller

Location: South Africa (Remote - US Hours)
Type: Full-Time, Work from Home
Hours: Monday to Friday: 9am-5pm (US Hours)

We are seeking a detail-oriented and experienced Medical Billing Specialist with a strong background in ABA therapy billing. The successful candidate will manage the end to end billing process, ensuring accurate claim submissions, payment postings, and resolution of denied claims for ABA therapy services. Familiarity with insurance verification, CPT codes for ABA, and Medicaid/insurance guidelines is essential.

• Verify client insurance eligibility and benefits specific to ABA therapy.
• Accurately prepare and submit insurance claims (electronic and paper) for ABA services.
• Review and correct billing errors and ensure compliance with payer requirements.
• Post payments and reconcile insurance and patient accounts.
• Follow up on unpaid or denied claims; appeal and resolve denials in a timely manner.
• Communicate with insurance companies, clients, and internal teams regarding billing issues.
• Maintain patient confidentiality and adhere to HIPAA regulations.
• Generate patient statements and manage collections process as needed.
• Stay updated with billing codes and payer-specific rules.
• Assist in monthly reporting and analysis of billing performance and revenue cycle metrics.

• Minimum 2 years of experience in medical billing, with a strong preference for ABA billing.
• Proficient in using billing software and electronic health records.
• Knowledge of ABA-specific CPT codes and insurance procedures.
• Strong understanding of payer guidelines including Medicaid, commercial insurance, and managed care.
• Excellent attention to detail, organizational, and time management skills.
• Effective communication and problem solving abilities

• Familiarity with insurance authorizations and re-authorizations.
• Experience in multi-state billing or handling multiple payers.
• Knowledge of HIPAA and other healthcare compliance standards
• Fluent or neutral English accent.
• Reliable internet and backup power.

• Comfortable working U.S. hours
• Remote work