Medical Billing Administrator

Job Title: Medical Billing Administrator

Location: South Africa

Job Type: Full-Time, Remote

Working Hours: US Hours (9am-5pm EST)

Salary: South African Rand (ZAR)

We are looking for a detail-oriented Medical Billing Administrator to join our healthcare team. In this role, you will be responsible for the end-to-end medical billing process, ensuring healthcare providers receive accurate and timely reimbursement for services rendered. You will prepare, review, submit, and follow up on medical claims while working closely with insurance providers, governing agencies, and internal teams to resolve billing issues and minimise claim denials.

This role requires excellent attention to detail, strong organisational skills, and a commitment to accuracy, compliance, and delivering exceptional support to both providers and patients. Experience in Speech Therapy or ABA (Applied Behavior Analysis) billing is highly advantageous.

• Prepare, review, and submit accurate medical claims to insurance providers and government healthcare programmes.
• Monitor submitted claims and track their progress through to payment.
• Investigate and resolve rejected, denied, or unpaid claims.
• Perform accounts receivable (A/R) follow-up to ensure timely reimbursement.
• Submit corrected claims and appeals where necessary.
• Ensure all claims are submitted within payer filing deadlines.
• Maintain accurate provider, patient, and billing records.
• Review billing documentation for completeness and accuracy before claim submission.
• Verify billing information and resolve discrepancies.
• Maintain organised billing files and supporting documentation.
• Liaise with insurance companies, governing agencies, and healthcare providers regarding billing enquiries and claim status.
• Build and maintain effective working relationships with providers, management, and external stakeholders.
• Provide updates on outstanding claims and reimbursement issues.
• Ensure billing activities comply with healthcare regulations, payer requirements, and company policies.
• Maintain confidentiality of patient and provider information.
• Support internal audits and quality assurance processes.

Requirements

• Minimum 1 year of medical billing experience.
• Previous experience working within the healthcare industry.
• Understanding of medical billing processes and the revenue cycle.
• Knowledge of the credentialing process is advantageous.
• Excellent attention to detail and organisational skills.
• Ability to manage multiple priorities and meet deadlines.
• Strong communication and problem-solving skills.
• Ability to work independently and as part of a team.
• Comfortable working in a fast-paced, growing environment.

Benefits

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