- Perform eligibility and benefits verification for treatments, hospitalisations, and procedures.
- Reviewing patient bills for accuracy and completeness and obtaining any missing information.
- Following up on unpaid claims within the standard billing cycle timeframe.
- Calling insurance companies regarding any discrepancy in payments if necessary
- Identifying and billing secondary or tertiary insurances.
- Provides customer support through different communication channels (phone, email, chat).
- Resolve issues & accommodate customer inquiries to ensure satisfaction with products or services.
- Collaborate with colleagues and different departments to resolve complex issues
- Maintain accurate records on customer interactions, transaction, feedback, etc.
- At least 1 year doing medical insurance and claims
- Experience supporting a client for medical claims, benefits, eligibilities, denials, appeals
- Knowledge in US Medical Billing (Medicare and Medicaid)
- Excellent verbal and written English skills
- Amenable to work from 3:00 PM or later
- Has stable internet connection and ample working space to work from home
- Has back-up internet connection
- Ensure you have at least 3 to 4 hours of power backup for laptop, with 2nd screen and internet connectivity, when load shedding happens.
- Competitive salary and benefits
- Paid time off
- Performance appraisal
- Work-life balance
- A focus on growing your career path with us
- We encourage you to follow your passions and learn new skills
- Strong culture and values-driven leadership
- We create opportunities for you to learn and grow at any stage of your career
- Continuous learning and innovation
- We foster an all inclusive environment where everyone thrives
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Client Support for US Healthcare Account - Johannesburg, South Africa - WatersEdge Solutions
Description
Our client is in search of an experienced Medical Billers to join our rapidly expanding team. As a member of our team, you will have the opportunity to work with highly skilled professionals, who prioritise employee satisfaction and work-life balance. They pride themselves on creating a culture focused on long-term success and life-long learning. They're looking for a team player who is ready to contribute to their mission, just like you
Account specific roles and responsibilities:
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Requirements
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