Billing & Eligibility Specialist

🇿🇦 South Africa - Remote
⚖️ Finance & Legal🔵 Mid-level

Job description

ISTA Personnel Solutions is a dynamic and fast-growing BPO company. We are not a recruitment agency – we operate as a dedicated extension of our clients’ teams, delivering high-quality service with precision, efficiency, and a personal touch.

Join our team as a Billing & Eligibility Specialist supporting US-based ABA therapy services. You will assist with insurance verification, prior authorizations, and billing administration to ensure smooth operations and accurate reimbursement processes.

PLEASE NOTE:

  • Working Hours: Monday – Friday | 9:00 AM – 6:00 PM EST (4:00 PM – 01:00 AM South African time – subject to daylight savings).
  • Public Holidays: This role requires working on both South African and U.S. public holidays (compensation for SA public holidays in accordance with the BCEA).
  • Internet Requirements: A fixed fibre line with a minimum speed of 25 Mbps (upload & download) and wired Ethernet capability is mandatory. Applicants without a fixed fibre line cannot be considered.
  • Power Backup: Reliable backup required to manage load shedding or outages. Applicants without a power backup cannot be considered.
  • Work Environment: Fully remote.

Job Responsibilities:

  • Contact insurance companies to verify patient eligibility and benefits.

  • Confirm and follow up on prior authorizations.

  • Accurately update and maintain insurance information in the system.

  • Identify and report any discrepancies or issues.

  • Provide administrative support to the billing team as needed.

  • Draft clear, polite, and professional communications.

  • Maintain accurate records of insurance and billing activities.

  • Industry Experience (Required):

    • Previous experience in medical billing, eligibility verification, or insurance coordination.
    • Familiarity with insurance portals and authorization procedures.
  • Soft Skills:

    • Excellent verbal and written English communication.
    • Calm, professional, and able to handle sensitive situations.
    • Highly organized with attention to detail.
  • Technical Skills:

    • Basic computer skills, including MS Office and Outlook.
    • Comfortable navigating systems to update records accurately.

If you are not contacted within 14 working days, please consider your application unsuccessful.

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