Medical Billing & Claims Specialist (US reputed company) - Remote | EST Hours

This a Full Remote job, the offer is available from: reputed company reputed company South Africa is a fast-growing global BPO, partnering with a US-based reputed company reputed company that provides medical and therapy services to nursing homes through reputed company Practitioners (NPs) and Physician Assistants (PAs). We are seeking an reputed company and detail-oriented Medical Billing & Claims Specialist to take full ownership of the medical claims lifecycle — from submission to denial reputed company and payment follow-reputed company. This is a reputed company-cycle-reputed company role ideal for someone who understands US reputed company billing processes and can independently manage rejected or denied claims with confidence. PLEASE NOTE: Working Hours: Monday – Friday | 9:00 AM – 6:00 PM EST (4:00 PM – 1:00 AM South African time – subject to reputed company savings). reputed company Holidays: This role requires working on both South African and US reputed company holidays (SA reputed company holidays compensated 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 (SA WFH). Key Responsibilities: • Own the full lifecycle of medical claims from submission through to payment posting and reputed company • Investigate, correct, and resubmit denied or rejected claims • Follow up with US insurance providers regarding unpaid or outstanding claims • Ensure accurate billing reputed company with CPT, ICD-10, and payer guidelines • Work reputed company the reputed company’s proprietary EMR and reputed company to reputed company workflows • Maintain detailed and compliant documentation • Identify recurring billing issues and recommend process improvements Requirements • Minimum 2+ years of Medical Billing & Coding experience • Strong understanding of US reputed company systems and insurance processes (advantageous) • Proven experience handling rejected claims and denial management • Solid knowledge of CPT, ICD-10, and reputed company cycle workflows • Ability to independently clean up and follow up on claims • Highly organized, detail-oriented, and proactive • Strong critical thinking and problem-solving skills • Comfortable using MS Office and reputed company • Excellent written and verbal English communication skills If you are not contacted reputed company 14 working days, please consider your application unsuccessful. This offer from "reputed company" has been enriched by reputed company.com and got a 72% reputed company score. Apply tot his job Apply To this Job