Billing & Authorization Specialist

🔥 5 minutes ago

🇿🇦 South Africa – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

📊 Billing Specialist

👻 Ghost score 25%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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ReWorks Solutions

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 2024

🏥 Healthcare

📦 Logistics

📣 Marketing

Healthcare • Logistics • Marketing

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.

📋 Description

• Review billing codes and insurance authorizations to ensure accuracy, completeness, and compliance. • Ensure all required authorizations are obtained before services are billed. • Monitor authorizations, manage upcoming expirations, and obtain required extensions. • Enter and maintain authorization and billing information in EMR and billing systems. • Verify that services are billed only when valid and appropriate authorizations are in place. • Follow up with therapists, clinicians, and providers regarding missing documentation, treatment information, or authorizations. • Communicate with insurance companies about authorization status, extensions, denials, payer requirements, and billing inquiries. • Investigate and resolve billing discrepancies and authorization issues. • Maintain organised records of authorizations, billing information, and related communications. • Ensure processes comply with payer requirements and company procedures. • Work within EMR and/or billing software used by Early Intervention or pediatric healthcare providers. • Identify authorization or billing issues before they affect service delivery or reimbursement. • Collaborate with internal teams to resolve outstanding matters efficiently.

🎯 Requirements

• Previous experience in medical billing and insurance authorizations. • Strong understanding of CPT codes, medical billing processes, and payer requirements. • Experience managing insurance authorizations, including obtaining, updating, extending, and resolving denied or missing authorizations. • Excellent attention to detail and accuracy. • Strong organisational and administrative skills. • Ability to manage multiple authorizations, deadlines, and follow-ups simultaneously. • Comfortable communicating professionally with therapists, clinicians, healthcare providers, and insurance companies. • Strong problem-solving skills and the ability to investigate and resolve discrepancies independently. • Experience working with EMR and/or medical billing software. • Experience within pediatric healthcare, pediatric therapy, Early Intervention, behavioral health, or a similar healthcare environment would be highly advantageous.