Job Title: Billing and Authorizations Specialist
Location: South Africa
Job Type: Full-Time, Remote (US Hours: 9am-5pm EST)
Position Overview
We are seeking an experienced Billing & Authorizations Specialist to join our growing ABA team. This role is ideal for a proactive, tech-savvy professional who has extensive experience working with insurance providers, billing processes, and authorizations. The successful candidate will take ownership of the insurance and billing workflow, identify opportunities for improvement, and ensure all claims and authorizations are processed efficiently and accurately.
- Manage all aspects of insurance billing, claims submission, and authorization processes.
- Submit, track, and renew insurance authorizations to ensure uninterrupted client services.
- Follow up with insurance companies regarding outstanding claims, denials, and payment delays.
- Investigate and resolve billing discrepancies and authorization issues.
- Monitor authorization utilization and proactively address expiring or exhausted authorizations.
- Maintain accurate and up-to-date records within company systems.
- Generate reports related to billing, authorizations, and claims status.
- Identify process inefficiencies and take initiative to improve workflows and outcomes.
- Collaborate with internal teams to ensure all insurance and billing requirements are met.
Requirements
- Significant experience in insurance billing, claims management, and authorizations within a healthcare setting.
- Experience working with ABA services, behavioral health, or medical billing is highly preferred.
- Strong understanding of insurance payors, authorization requirements, and claims processing.
- Self-motivated with the ability to take initiative and solve problems independently.
- Highly organized with exceptional attention to detail.
- Strong communication and follow-up skills when working with insurance representatives and internal stakeholders.
- Tech-savvy and comfortable learning new software, systems, and reporting tools.
- Proficient in Microsoft Office, particularly Excel.
- Ability to manage multiple priorities in a fast-paced environment.
Benefits
- Comfortable working U.S. hours
- Remote work from home
Fraud Disclaimer: ReWorks Solutions will never request payment during recruitment or require in-person office visits. All official communication will come from a ReWorks Solutions email address. Please verify any suspicious messages with our team directly.
Skills Required
- Significant experience in insurance billing, claims management, and authorizations within a healthcare setting
- Experience working with ABA services, behavioral health, or medical billing
- Strong understanding of insurance payors, authorization requirements, and claims processing
- Self-motivated with ability to take initiative and solve problems independently
- Highly organized with exceptional attention to detail
- Strong communication and follow-up skills when working with insurance representatives and internal stakeholders
- Tech-savvy and comfortable learning new software, systems, and reporting tools
- Proficient in Microsoft Office, particularly Excel
- Ability to manage multiple priorities in a fast-paced environment
- Ability to work U.S. hours (9am-5pm EST) from South Africa (remote)
What We Do
ReWorks Solutions is a premium remote staffing and outsourcing company that provides rigorously vetted, native English-speaking professionals from South Africa and the Philippines. They offer white-glove management, proactive support, and HIPAA-compliant processes to help businesses scale smarter by blending cost-effective outsourcing with high-performance teams and strategic operations, ensuring seamless integration into existing workflows while reducing overhead costs and boosting productivity for US and international clients.
