ISTA Personnel Solutions was looking for a Billing & Eligibility Specialist (US Healthcare/ABA Therapy) - EST Hrs (Remote)

ISTA Personnel Solutions is an innovative and rapidly expanding Business Process Outsourcing enterprise. We function beyond a standard recruitment agency – we operate as an integral extension of our clients' operational teams, delivering superior service with accuracy, effectiveness, and personalized attention. Become part of our team as a Billing & Eligibility Specialist supporting US-based ABA therapy services. You will assist with insurance verification, prior authorizations, and billing administration to ensure seamless operations and precise reimbursement procedures. PLEASE BE ADVISED: Working Hours: Monday – Friday | 9:00 AM – 6:00 PM EST (4:00 PM – 01:00 AM South African time – subject to daylight savings). Public Holidays: This position requires working on both South African and U.S. public holidays (compensation for SA public holidays in alignment with the BCEA). Internet Requirements: A stable fibre connection with a minimum speed of 25 Mbps (upload & download) and wired Ethernet capability is essential. Candidates without a fixed fibre line will not be considered. Power Backup: Dependable backup required to manage load shedding or electrical interruptions. Applicants without a power backup cannot proceed. Work Environment: Completely remote. Job Responsibilities: - Contact insurance providers to validate patient eligibility and benefits. - Confirm and pursue prior authorizations. - Precisely update and maintain insurance information in the system. - Detect and report any inconsistencies or potential issues. - Provide administrative support to the billing team as required. - Compose clear, courteous, and professional communications. - Maintain precise records of insurance and billing activities. Requirements: Industry Experience (Required): - Previous involvement in medical billing, eligibility verification, or insurance coordination. - Understanding of insurance portals and authorization protocols. Soft Skills: - Superior verbal and written English communication. - Composed, professional, and capable of managing sensitive scenarios. - Exceptionally organized with meticulous attention to detail. Technical Skills: - Fundamental computer proficiency, including MS Office and Outlook. - Skilled at navigating systems to update records with precision. If you are not contacted within 14 working days, please consider your application unsuccessful.