40 Billing Specialist jobs in South Africa

MAKE STRATEGY A REALITY | ACCELERATE YOUR GROWTH | CHOOSE YOUR PATH
As the world's leading change and transformation consultancy, we're helping businesses move from strategy to reality by taking a pragmatic and practical approach to build solutions that last.

We're seeking a
Billing Specialist
in our
South Africa office
to help us take vision to value and create lasting impact. The Billing Specialist is responsible for ensuring timely and accurate invoicing in accordance with client contracts, internal policies, and regulatory requirements. This role plays a key part in supporting client satisfaction and optimizing firm collections by driving billing accuracy and minimizing delays in the revenue cycle.

You Will

• Generate and submit client invoices in a timely, accurate manner per contractual terms.
• Partner with internal client teams and external Accounts Payable teams to ensure invoice approval and prompt payment.
• Monitor and manage late billings, Days Sales Outstanding (DSO), and aging reports; proactively address issues before they become overdue.
• Maintain and improve DSO metrics by driving timely billing, encouraging favorable payment terms, and eliminating billing errors.
• Prioritize daily tasks based on department and organizational goals.
• Reconcile time and expense entries between customer Vendor Management Systems and North Highland's Workday system (as applicable).
• Audit billing activity using Power BI dashboards and Workday reports to ensure accuracy and completeness.
• Track invoice payments and escalate discrepancies or delays in a timely manner.
• Collaborate with internal stakeholders to align processes, secure timely approvals, and support collections.
• Identify and escalate at-risk accounts or billing roadblocks, proposing actionable solutions.
• Contribute to continuous improvement initiatives by identifying process inefficiencies and recommending enhancements to tools, workflows, or systems.
• Perform additional duties as required.

IDEALLY, WE'D LIKE:

• Bachelor's degree in business administration, Finance, Accounting, or a related field.
• 2–4 years of relevant experience in billing, invoicing, or financial operations.
• Strong understanding of billing processes, contract terms, and accounts receivable management.
• Demonstrated ability to manage deadlines, resolve issues independently, and make sound business decisions.
• Excellent written and verbal communication skills, with the ability to explain complex issues clearly and professionally.
• High level of accuracy, attention to detail, and a sense of urgency.
• Strong proficiency in Microsoft Excel (including pivot tables and data analysis), Word, and Outlook.
• Experience with Workday and Power BI reporting is a plus.
• Positive, adaptable mindset with a focus on continuous learning and process improvement.
• Ability to work effectively in a fast-paced, matrixed environment.

Applicants must be authorized to work in South Africa, without the need for visa sponsorship by North Highland. Work visa sponsorship will not be provided, either now or in the future, for this position.

North Highland is an equal opportunity employer, and we adhere to all applicable laws and regulations to ensure a fair and equitable workplace. All qualified applicants will receive fair and impartial consideration without regard to race, color, sex, gender identity, religion, national origin, age, sexual orientation, disability, veteran status, or any other characteristic protected by law. We handle all information in accordance with local privacy standards and maintain strict confidentiality.

Reference: 48108

APPLY FOR THIS JOB

We’re looking for a highly detail-oriented and proactive Billing Specialist to join our finance team. This role will be responsible for ensuring accurate and timely billing, managing customer accounts, handling payment processing, and supporting collections activities. You’ll play a critical part in maintaining smooth financial operations, ensuring compliance with accounting policies, and delivering excellent customer service in all billing-related matters.

Job Opening:
Medical Billing Specialist (Supervisor)

Location:
South Africa (Remote – US Hours)

Type:
Full-Time, Work from Home

Hours:
Monday to Friday: 9am- 5pm (US Hours)

Pay:
Monthly USD Salary

Job Summary

We are seeking a detail-oriented and experienced
Medical Billing Specialis
t with a strong background in
ABA therapy billin
g. The successful candidate will manage the end-to-end billing process, ensuring accurate claim submissions, payment postings, and resolution of denied claims for ABA therapy services. Familiarity with insurance verification, CPT codes for ABA, and Medical Aid/insurance guidelines is essential

Key Responsibilities

• Verify client insurance eligibility and benefits specific to ABA therapy
• Accurately prepare and submit insurance claims (electronic and paper) for ABA services
• Review and correct billing errors and ensure compliance with payer requirements
• Post payments and reconcile insurance and patient accounts
• Follow up on unpaid or denied claims; appeal and resolve denials in a timely manner
• Communicate with insurance companies, clients, and internal teams regarding billing issues
• Maintain patient confidentiality and adhere to HIPAA regulations
• Generate patient statements and manage collections process as needed
• Stay updated with billing codes and payer-specific rules
• Assist in monthly reporting and analysis of billing performance and revenue cycle metrics
• Supervise team members

Qualifications:

• Minim
  um 2 years of experience in medical bill
  ing, with a strong preference for ABA billing
• Proficient in using billing software and electronic health records
• Knowledge of ABA-specific CPT codes and insurance procedures
• Strong understanding of payer guidelines including Medical Aid, commercial insurance, and managed care.
• Excellent attention to detail, organizational, and time management skills
• Effective communication and problem-solving abilities

Preferred Skills

• Familiarity with insurance authorizations and re-authorizations
• Experience in multi-state billing or handling multiple payers
• Knowledge of HIPAA and other healthcare compliance standards
• Fluent or neutral English accent
• Reliable internet and backup power

Salary and Benefits

• Comfortable working U.S. hours
• Remote work

To
Apply:

Email your CV and to move forward with the next steps, we'd love to learn more about your background and experiences through a short video. Please record a brief video introducing yourself and describing your relevant work experie
nces. You may upload your video using Google Drive o
r Loom, and then share the link with us with you application.

Please not
e that applications submitted without a video will not be processed
further, so we encourage you to complete this step at your earliest convenience.

If you have not heard back from us within 14 days of application, please consider it as unsuccessful.

MAKE STRATEGY A REALITY | ACCELERATE YOUR GROWTH | CHOOSE YOUR PATH
As the world's leading change and transformation consultancy, we're helping businesses move from strategy to reality by taking a pragmatic and practical approach to build solutions that last.

We're seeking a
Billing Lead – Senior Accountant
in our
South Africa office
to help us take vision to value and create lasting impact. The Billing Lead - Senior Accountant will be responsible for ensuring invoices are delivered to clients and collected timely.

You Will

• Oversee all billable transactions in Workday, ensuring timely and accurate billing while conducting regular audits of financial data.
• Lead and mentor the accounts receivable team, setting performance goals and conducting evaluations to enhance team performance and accountability.
• Develop and maintain collaborative relationships with client teams to ensure adherence to billing processes and resolve any invoicing issues effectively.
• Review work-in-progress (WIP) monthly to ensure timely billing of fees and costs compared to revenue recognized.
• Serve as the business lead for billing processes, identifying and implementing improvements and automation tools to increase efficiency and reduce errors.
• Ensure all billing practices align with regulatory requirements, company policies, and industry standards, including risk assessments of invoicing terms.
• Coordinate with accounting, finance, and contract teams to align billing operations with financial reporting.
• Monitor collections processes to ensure timely payments of invoices, actively managing overdue accounts and facilitating resolutions for invoice disputes.
• Ensure prompt responses to inquiries within 24 hours and collaborate with stakeholders regarding requests for discounts, write-offs, or invoice discrepancies.
• Assist with month-end close activities, revenue recognition processes, and year-end audit requests to support accurate financial reporting.
• Other tasks and responsibilities, as assigned.

Ideally, We'd Like

• Bachelor's degree in business administration, finance, accounting, or similar discipline
• Demonstrated attention to detail, sense of urgency, and ability to learn quickly
• Outstanding written and oral communication skills, ability to express complex situations clearly
• Strong knowledge of invoicing and revenue recognition
• Proficient in MS Office
• Expert with Excel (x-lookups, pivot tables, etc.)
• Workday experience, a plus

Applicants must be authorized to work in South Africa, without the need for visa sponsorship by North Highland. Work visa sponsorship will not be provided, either now or in the future, for this position.

North Highland is an equal opportunity employer, and we adhere to all applicable laws and regulations to ensure a fair and equitable workplace. All qualified applicants will receive fair and impartial consideration without regard to race, color, sex, gender identity, religion, national origin, age, sexual orientation, disability, veteran status, or any other characteristic protected by law. We handle all information in accordance with local privacy standards and maintain strict confidentiality.

Reference: 48108

APPLY FOR THIS JOB