Medical Billing Specialist
Share
Job Location:
Cape Town - South Africa
Monthly Salary:
Not Disclosed
Posted on:
30+ days ago
Vacancies:
1 Vacancy
Job Summary
Position Title: Medical Billing Specialist Infusion & Rheumatology
Status: Full-time Remote Eligible (Latin America or South Africa)
Schedule: Monday Friday 8:00 AM 5:00 PM CST (The final offer is at the clients discretion and depends on the candidates interview result skills and experience.)
Break: 30 Min
Reports To: Chief Operating Officer
Overview
Our client is seeking a highly reliable and detail-oriented Medical Biller. This role focuses on ensuring accuracy timeliness and integrity in billing operations while maintaining exceptional communication and client service standards.
Key Responsibilities
- Submit medical claims for infusion rheumatology and regenerative services through eCW Waystar Inbox Health and other billing platforms.
- Follow up on unpaid and denied claims; prepare and submit appeals when appropriate
- Audit and reconcile GPO and distributor invoices for accuracy
- Manage biologics copay assistance enrollments and payments
- Generate and analyze monthly billing and reimbursement reports
- Maintain and update ledgers payment logs and internal spreadsheets
- Collaborate with CEO Admin and clinical teams to ensure proper documentation and charge capture
- Communicate with patients regarding balances payment options and insurance inquiries
- Send accounts to collections every 90 days in accordance with policy
- Provide client service support by responding promptly to both patient and internal billing inquiries
Qualifications
- Minimum 3 years of medical billing experience preferably in rheumatology infusion or biologics
- Proficiency with eClinicalWorks
- Strong understanding of CPT/HCPCS codes and prior authorization processes
- Familiarity with GPO or specialty pharmacy billing preferred
- Demonstrated ability to audit and resolve discrepancies with precision
- Excellent written and verbal communication skills
- Consistent organized and able to self-manage deadlines in a remote environment
- Professional integrity and a commitment to protecting patient confidentiality
Core Attributes
- Strong work ethic reliability consistency in work quality and follow-through
- Proactive communication and problem-solving mindset
- Team-first attitude with the ability to collaborate cross-departmentally
Required Experience:
IC
Key Skills
About Company
Somewhere, formerly Support Shepherd. We find you amazing employees who cost 80% less than US equivalents, backed by our 6-month Perfect Hire Guarantee.
