
201 - 500 employees
Founded 2024
🎯 Recruiter
🤝 B2B
Recruitment • B2B
ReWorks Solutions is a premium remote staffing company that provides rigorously vetted, native English-speaking offshore professionals from South Africa and the Philippines, managed end-to-end with white-glove onboarding, continuous coaching, performance monitoring, and HIPAA-compliant processes. They position themselves as a B2B partner for healthcare organizations and other businesses seeking client-facing and backend remote teams, promising cost savings, high retention, and compliance. ReWorks combines hands-on team management with AI-powered support to streamline hiring, scaling, and ongoing oversight of remote staff.
🔥 7 minutes ago
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201 - 500 employees
Founded 2024
🎯 Recruiter
🤝 B2B
Recruitment • B2B
ReWorks Solutions is a premium remote staffing company that provides rigorously vetted, native English-speaking offshore professionals from South Africa and the Philippines, managed end-to-end with white-glove onboarding, continuous coaching, performance monitoring, and HIPAA-compliant processes. They position themselves as a B2B partner for healthcare organizations and other businesses seeking client-facing and backend remote teams, promising cost savings, high retention, and compliance. ReWorks combines hands-on team management with AI-powered support to streamline hiring, scaling, and ongoing oversight of remote staff.
• Conduct internal audits of services prior to claim submission to identify errors, inconsistencies, or missing information • Research discrepancies by reviewing documentation, scheduling data, authorizations, and payer requirements • Communicate with providers and internal team members to clarify services delivered and ensure claims reflect accurate clinical activity • Make necessary corrections or adjustments within the practice management system to finalize clean claims • Apply payer-specific and state-specific billing rules to ensure compliance and prevent denials • Demonstrate an understanding of underlying billing rules and regulatory intent to appropriately resolve new or uncommon scenarios • Review Explanation of Benefits (EOBs), Electronic Remittance Advice (ERA), and bank deposit information to accurately post payer payments • Reconcile posted payments against deposit totals and identify discrepancies or underpayments • Flag potential payer issues, trends, or inconsistencies for escalation • Maintain accurate financial records within the billing system • Generate and correct patient invoices as needed • Follow up with patients or responsible parties regarding outstanding balances • Document outreach attempts and payment arrangements • Support timely resolution of patient balances to improve overall accounts receivable performance
• Bachelor’s degree (BA/BS) highly preferred • Previous experience in medical billing, claims auditing, revenue cycle management, accounts receivable, payment posting, or healthcare administration required • Strong understanding of claim auditing and claim-cleaning processes required • Ability to review documentation, authorizations, scheduling records, and payer requirements to identify claim discrepancies • Experience reviewing EOBs and ERAs preferred • Strong attention to detail and analytical skills required • Strong communication and problem-solving abilities required • Ability to interpret payer-specific and state-specific billing guidelines • Experience working with billing software or practice management systems preferred • Ability to manage multiple tasks and deadlines in a fast-paced environment • Ability to work independently in a remote environment • Reliable internet connection and a suitable home office setup • Preferred Experience • Experience with ABA billing codes and authorization structures • Multi-state or multi-payer billing experience • Experience posting payments and reconciling deposits • Familiarity with denial prevention and claims auditing workflows • Experience using medical billing software and practice management systems • Experience working with US healthcare insurance payers and reimbursement processes
• Comfortable working U.S. hours • Remote work from home
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