Job Description
ISTA Personnel Solutions is a fast-growing, global BPO company. We are not a recruitment agency — we operate as a dedicated extension of our U.S.-based clients’ teams, delivering high-quality operational support with precision, efficiency, and professionalism.
Our client provides ABA (Applied Behaviour Analysis) therapy services and is seeking a highly organised and detail-oriented Billing Specialist with experience handling U.S. insurance claims, remits, denials, and billing follow-up. Prior ABA billing experience is highly advantageous. The ideal candidate is a quick learner, able to work efficiently across multiple insurance portals and manage claims resolution in a fast-paced environment.
Please Note:
- Working Hours: Monday – Friday | 9:00 AM – 6:00 PM EST (3:00 PM – 12:00 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. Connections via Rain, LTE, 5G, or similar are not acceptable. Applicants without a fixed fibre line will not be considered.
- Power Backup: A reliable backup solution is required to manage load shedding and outages (UPS, inverter, solar, etc.). Applicants without a reliable backup solution will not be considered.
- Work Environment: Fully remote.
Key responsibilities
Submit and manage USA insurance claims accurately and timeously.
Follow up on unpaid, denied, or rejected claims.
Work with insurance remits/EOBs and payment postings.
Investigate and resolve billing discrepancies.
Communicate with insurance companies regarding claims and denials.
Maintain accurate billing records and documentation.
Ensure payer requirements and authorisation guidelines are followed.
Work across multiple insurance portals and systems.
Escalate unresolved billing issues where necessary.
Assist with revenue cycle and claims management processes.
Previous experience in medical billing, insurance claims, or revenue cycle management.
Experience handling claims, remits, denials, and insurance follow-ups.
Strong administrative and organisational skills.
Excellent attention to detail.
Ability to multitask in a fast-paced environment.
Strong problem-solving skills.
Excellent English communication skills (written and verbal).
Proficient in Microsoft Office (Word, Excel, Outlook).
Highly advantageous
- ABA billing experience.
- Experience supporting U.S.-based healthcare companies.
- Familiarity with U.S. insurance terminology and payer processes.
- Experience with Medicaid and commercial insurance claims.
- Experience working with behavioural health or therapy billing.
- Experience with billing platforms such as CentralReach, Kareo, AdvancedMD, or Tebra.
If you have not been contacted within 14 working days, please consider your application unsuccessful.
