4 Healthcare Coding jobs in South Africa

ISTA Personnel Solutions South Africa is a global BPO company partnering with a U.S.A Medical Billing Company. We are looking for an experienced Medical Billing Collections, specifically handling U.S. healthcare insurances such as Medicare, Medicaid etc.

To excel in this role, a strong understanding of US healthcare, billing terms, and processes is essential. As a customer-facing position, it also demands professionalism and empathy in all patient interactions.

PLEASE NOTE THE FOLLOWING:

• Working Hours: This role requires you to work EST hours, Mon - Fri, from 9am to 6pm EST time (15h00pm to 24h00am South African time - subject to change depending on daylight savings and/or the operational requirements of the Company)
• Work Environment: This is a fully remote working role.
• Internet Requirements: A fixed fibre line with a minimum speed of 25 Mbps (upload & download) and the ability to support a wired Ethernet connection is mandatory. Applicants without a fixed fibre line cannot be considered.
• Power Backup: A reliable power backup solution is required to manage load shedding and power outages. Applicants without a power backup cannot be considered.

Responsibilities:

• Patient Payment Collection – Follow up with patients to collect payments, establish payment plans, and resolve billing inquiries.
• Claims Review and Billing – Review exclusion of benefits (EOBs), identify errors, and work with insurance providers to resolve claim issues
• Verification of Benefits – Confirm and validate patient eligibility and coverage details with insurance providers.
• Census Management – Maintain accurate and up-to-date census data to track patient admissions and discharges.
• Medicaid Processing – Handle Medicaid billing, submissions, and follow-ups to ensure compliance and timely reimbursement.
• Cash Posting – Accurately post and reconcile patient payments and insurance remittances.
• Billing – Prepare and submit billing statements to insurance providers, ensuring compliance with billing guidelines.
• Claims Tracking – Monitor the status of submitted claims and follow up with insurance providers on denials or discrepancies.
• Aging Analysis – Analyze and manage aging reports to identify overdue accounts and implement follow-up strategies.
• Bank Reconciliation – Reconcile daily financial transactions and resolve discrepancies between payments and records.
• Back Office Support – Save and manage documents received from third parties to ensure proper record-keeping and compliance.
• System Management – Use billing systems to update records, track payments, and document interactions.
• AR Reduction – Focus on lowering Accounts Receivable (AR) by meeting collection targets and analyzing aging reports.
• Metrics and Compliance – Meet client-defined benchmarks and ensure compliance with HIPAA regulations.
• Client Communication – Provide regular updates on collection progress and discuss performance metrics with the client.
• Problem Resolution – Escalate complex issues and suggest improvements to enhance collection efficiency.

What we are looking for in a candidate:

• Exceptional English communication skills (comprehension, fluency etc.);
• Customer Service with a collections background
• Skilled in MS Office (Word) and Outlook
• Strong work ethic;
• A fast learner;
• Excellent problem-solving abilities.

If you are not contacted within 14 working days, please consider your application unsuccessful.

Job Title:
Billing & Medical Claims Processor

Schedule:
Monday – Friday | 8:00 a.m. – 5:00 p.m. PST

(5:00 p.m. – 2:00 a.m. South Africa Standard Time)

Location:
Remote – Based in South Africa

Reports To:
Director of Accounting & Finance

About the Opportunity

Total Care Connections—one of the largest home care providers in Arizona and Colorado—is seeking a detail-oriented and experienced
Billing & Medical Claims Processor
to join our growing team.

This full-time remote role is based in South Africa but aligned with U.S. Pacific Standard Time hours. The ideal candidate has strong English communication skills, experience in U.S. medical billing and claims management, and a proven ability to work in a fast-paced healthcare environment.

About the Role

As a Billing & Medical Claims Processor, you will be responsible for the
end-to-end revenue cycle process
, including billing, claims submission, adjudication, payment posting, collections, and accounts receivable management. You will ensure accuracy, compliance, and timeliness in all financial transactions, while serving as a key support to the Director of Accounting & Finance.

This role is critical to ensuring that Total Care Connections maintains healthy cash flow and compliance across all payer types.

Key Responsibilities
Billing & Claims Management

• Prepare, review, and submit accurate claims through
  Office Ally
  and
  Waystar
  for private insurance, Medicaid, Medicare, VA, long-term care insurance, and private pay clients.
• Verify insurance eligibility and benefits prior to billing.
• Ensure all claims meet payer-specific requirements, HIPAA regulations, and industry coding standards.
• Track, manage, and resolve claim rejections and denials; submit corrections and appeals as needed.
• Maintain claim status logs and follow up with payers to ensure timely adjudication.

Accounts Receivable & Collections

• Post payments (EFT, ACH, credit card, checks) accurately and reconcile against remittance advice (ERA/EOB).
• Manage client invoicing, account statements, and collections activities, including outbound calls for past-due accounts.
• Monitor aging reports and escalate overdue balances.
• Process refunds, adjustments, and write-offs in accordance with company policy.
• Maintain accurate A/R records for monthly reporting.

Revenue Cycle Operations

• Perform daily reconciliation of deposits and payment postings.
• Conduct audits of claims and payments to identify errors, trends, or compliance risks.
• Support prior authorization requests and documentation when required.
• Collaborate with schedulers, nurses, and caregivers to resolve billing discrepancies tied to services rendered.
• Assist with monthly close by preparing A/R and collections reports.

Compliance & Process Improvement

• Stay current with Medicare, Medicaid, and private payer billing regulations.
• Ensure strict adherence to HIPAA and internal confidentiality requirements.
• Identify opportunities to improve billing efficiency and accuracy.
• Support internal and external audits related to billing and claims.

Qualifications

• Bachelor's degree preferred (Accounting, Finance, Healthcare Administration, or related field).
• Minimum 2–3 years of experience in U.S. medical billing and claims processing, preferably in home health or healthcare.
• Proficiency with
  Office Ally, Waystar, ERA/EOB posting, and payment systems (ACH, credit card processing).
• Strong knowledge of medical claims adjudication, payer rules, and denial management.
• Excellent English communication skills (written and spoken).
• Highly detail-oriented, organized, and able to manage multiple tasks in a fast-paced environment.
• Comfortable making professional collections calls to clients and payers.
• Ability to work 8:00 a.m. – 5:00 p.m. PST (night shift in South Africa).

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We're looking for coding specialists who live and breathe algorithms, data structures, software architecture, frontend and backend development, cloud infrastructure, and systems programming—and who can do so fluently in Swedish. You'll challenge advanced language models on topics like asynchronous programming, RESTful API integration, memory management, object-oriented design, secure coding practices, and debugging distributed systems—documenting every failure mode so we can harden model reasoning.

On a typical day, you will converse with the model on software engineering tasks and technical scenarios in Swedish, verify logical accuracy and coding fluency, assess naturalness and correctness of Swedish language usage, capture reproducible error traces, and suggest improvements to our prompt engineering and evaluation metrics.

A bachelor's, master's, or PhD in computer science, software engineering, or a closely related technical field is ideal; real-world coding experience, technical writing in Swedish, or open-source contributions signal fit. Clear, metacognitive communication—"showing your work"—is essential.

Ready to turn your coding and Swedish language expertise into the knowledge base for tomorrow's AI? Apply today and start teaching the model that will teach the world.

We offer a pay range of $8‑to‑$65 per hour, with the exact rate determined after evaluating your experience, expertise, and geographic location. Final offer amounts may vary from the pay range listed above. As a contractor you'll supply a secure computer and high‑speed internet; company‑sponsored benefits such as health insurance and PTO do not apply.

Job title: Coding Specialist - (Fluent in Swedish) - AI Trainer

Employment type: Contract

Workplace type: Remote

Seniority level: Mid‑Senior Level