Medical Billing Administrator

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ReWorks Solutions

WebsiteLinkedInAll Job Openings

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.

📋 Description

• 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

• Comfortable working U.S. hours • Remote work from home