Case Manager & Billing (USA Healthcare) - EST hours (Remote)
Company:ISTA Personnel Solutions
Location:South Africa, EST
Languages:English
Seniority level:Lead, 1+ year
Experience:1+ year
Skills:
MS Office
Requirements:
Minimum of 1 year of experience in US healthcare settings. Strong focus on medical billing, coding (CPT, ICD-10), and case management. Sound knowledge of HIPAA regulations. Strong analytical skills and good judgment. Highly detail-oriented and precise. Efficient in managing and prioritizing emails. Excellent communication, problem-solving, and organizational abilities. Follows established processes with accuracy. Understands processes with the ability to exercise good judgement. Proficiency in MS Office (Excel, PDF, Outlook).
Responsibilities:
Manage healthcare accounts, ensuring seamless claims processing and authorizations. Oversee accurate and timely medical billing processes, including coding for services. Review clinicals for case management and coordinate approvals. Follow up on claims, resolve denials, and liaise with insurance providers. Work closely with clinical, administrative, and financial teams. Utilize MS Office (Excel, PDF, Outlook) for reporting and documentation. Ensure compliance with billing policies and healthcare regulations.
