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.

• 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.