Billing Assistant (US Healthcare/ABA Therapy) - EST Hrs (Remote)

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.

We are currently looking for a Billing Assistant to join a US-based provider of ABA therapy services. This role is ideal for someone with experience in US medical billing who enjoys problem-solving, working with insurance claims, and ensuring billing accuracy.

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. 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

  • Submit and process billing claims for Medicaid and private insurance providers

  • Bill therapy session hours accurately through the Waystar clearinghouse

  • Investigate and resolve denied claims by identifying the reason for denial

  • Contact insurance companies to obtain claim information and resolve billing issues

  • Correct and resubmit denied claims in a timely manner

  • Assist with provider and company credentialing with insurance companies

  • Ensure clinicians remain credentialed with the appropriate insurance providers

  • Maintain accurate records and ensure compliance with billing procedures

Requirements

  • Previous experience in US medical billing, specifically submitting or processing claims to US insurance providers

  • Experience using Waystar or CentralReach (experience with both is highly advantageous)

  • Strong communication skills with the ability to liaise professionally with insurance companies

  • Excellent attention to detail and accuracy

  • Strong critical thinking and problem-solving abilities

  • Comfortable using Microsoft Office and Outlook

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