What Jobs are available for Medical Specialist in South Africa?

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.

We are seeking a detail-oriented and dependable Medical Billing Specialist to join our growing healthcare support team. The ideal candidate will have solid experience in U.S. medical billing, claims submission, and payment reconciliation, and will be comfortable working in a fast-paced, accuracy-driven environment.

Youll play a critical role in ensuring our clients billing operations run smoothly maintaining compliance, reducing denials, and accelerating cash flow.

• Prepare, review, and submit medical claims to insurance companies (electronic and paper)
• Follow up on unpaid claims and resolve denials or rejections promptly
• Verify patient insurance coverage and benefits prior to service
• Post payments and adjustments accurately to patient accounts
• Reconcile accounts receivable and generate aging reports
• Communicate with patients, providers, and insurance representatives to resolve billing inquiries
• Maintain compliance with HIPAA and all federal, state, and payer regulations
• Assist with month-end reporting and financial tracking as needed
• Collaborate closely with medical coders and case managers to ensure billing accuracy

• Minimum 2 years of experience in U.S. medical billing and collections
• Strong knowledge of CPT, ICD-10, and HCPCS codes
• Experience with insurance portals, clearinghouses, and EHR systems (e.g., Availity, Kareo, Athena, DrChrono, AdvancedMD)
• Excellent English communication skills written and verbal
• High attention to detail and analytical problem-solving skills
• Proficient in Excel/Google Sheets and general computer systems
• Ability to work full-time U.S. business hours (EST)

• Experience with Medicare, Medicaid, and commercial payers
• Familiarity with revenue cycle management (RCM) processes
• Knowledge of HIPAA compliance best practices
• Previous experience working with remote U.S. healthcare providers
• Experience in nursing home or long-term care billing is a strong plus

Medical Coding Specialist

Location: Bloemfontein, Free State

Vacancy Overview:

We are seeking a highly accurate and detail-driven Medical Coding Specialist to join our team. The successful candidate will be responsible for reviewing patient medical records, assigning the correct ICD-10 codes, and ensuring all coding and billing processes comply with South African medical aid requirements, HPCSA regulations, and industry standards.

This role plays a vital part in ensuring timely and accurate reimbursements while maintaining full compliance throughout the revenue cycle.

Qualifications & Experience:

• Matric (National Senior Certificate)
• ICD-10 coding certification (South African recognised)
• Minimum of 2 years' experience in medical coding within a hospital, clinic, or medical practice
• Strong knowledge of ICD-10 codes, HPCSA regulations, and medical aid billing processes
• Experience with medical aid claims systems and electronic health records (EHRs)
• High attention to detail and accuracy
• Strong communication and problem-solving skills
• Computer literate and proficient in coding/billing software

The position is available from January 2026 onwards. If you do not receive feedback within 10 business days of submitting your application, please consider your application unsuccessful.

To Apply:

Please send your comprehensive CV and relevant certifications to

Job Type: Full-time

Pay: R30 000,00 - R45 000,00 per month

Work Location: In person

Job Opening:
QA Clinical Specialist/Reviewer

Location:
South Africa (Remote – US Hours)

Type:
Full-Time, Work from Home

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

Pay:
Monthly USD Salary

We are seeking an experienced
QA/Clinical Specialist
with a strong background in
Applied Behavior Analysis (ABA)
to oversee the accuracy, quality, and compliance of session notes, assessments, and intake processes. This role requires deep knowledge of insurance documentation standards, exceptional attention to detail, and the ability to support and guide BCBAs in writing high-quality clinical assessments.

The right candidate will also manage
intake and consultations
, ensuring families experience a smooth, supportive, and professional onboarding process.

Key Responsibilities Quality Assurance & Review

• Review ABA session notes and assessments for accuracy, completeness, and insurance compliance.
• Identify, correct, and communicate QA errors to the clinical team.
• Provide ongoing feedback and support to BCBAs regarding clinical documentation best practices.

Clinical & BCBA Support

• Assist BCBAs with assessment writing to meet clinical and insurance standards.
• Ensure documentation reflects best practices in ABA while maintaining compliance.
• Serve as the point of contact for clinical quality issues.

Intake & Consultations

• Conduct family intakes with warmth, clarity, and professionalism.
• Clearly explain services, push for timely onboarding, and set up new cases efficiently.
• Maintain excellent communication with families and internal teams.

Team & Workflow Management

• Act as the primary QA support for the clinical team, ensuring reliability and consistency.
• Manage workflows in
  Apsheet and CentralReach
  to track progress and compliance.
• Maintain organized, efficient systems for intake, documentation, and QA review.

Qualifications

• Minimum
  2+ years' experience
  in ABA clinical documentation, QA, or related field.
• Strong understanding of
  insurance requirements
  for ABA assessments and session notes.

Experience supporting clinicians in writing assessments.

• Exceptional attention to detail, reliability, and organizational skills.
• Excellent communication skills
  – clear, warm, professional, and easy to understand (minimal accent).
• Strong intake and consultation experience – able to engage families and encourage service initiation.
• Proficiency with
  Apsheet
  and
  CentralReach
  (or ability to learn quickly).

Preferred Traits

• Trustworthy, highly reliable, and proactive.
• Naturally warm, supportive, and professional in communication.
• Fast learner, quick worker, and extremely organized.
• Able to work independently while supporting the whole clinical team.

Salary and Benefits

• Comfortable working U.S. hours
• Remote work
• Paid in USD

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 experiences.
You may upload your video using Google Drive or Loom
, and then share the link with us with you application.

Please note 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.

The Medical Insurance Application Specialist plays a crucial role as the first point of contact for patients or new members seeking medical insurance coverage. This position involves guiding applicants through the enrollment process, verifying eligibility, and ensuring that all required documentation is completed accurately and on time.

Key Responsibilities include:

• Assisting patients and new members with completing medical insurance applications, renewals, and updates.

• Verifying personal information to determine eligibility for coverage.

• Explaining insurance plan options, benefits, and requirements in clear, easy-to-understand terms.

In alignment with the Employment Equity Act, preference will be given to applicants from historically underrepresented groups/ aligned with our EE targets

• Tracking and following up on application status to ensure timely approval and enrollment.

• Providing exceptional customer service by responding promptly to questions and concerns.

• Collaborating with internal teams to resolve application or eligibility issues.

Qualifications for this role include:

• Prior experience in insurance enrollment, healthcare administration, or patient services preferred.

• Strong communication, problem-solving, and organizational skills.

• A compassionate and patient-focused approach with attention to detail.

If interested, please share an updated CV to

In alignment with the Employment Equity Act, preference will be given to applicants from historically underrepresented groups/ aligned with our EE targets

Company Description

GDR Pharma has a comprehensive understanding of the regulatory environment in South Africa, including its history, trends, current requirements, and policies. We are associate members of various industry associations and affiliated with professional bodies, providing us with up-to-date information related to the health products industry and medical devices. Our dedicated networks ensure that we stay informed about the latest developments in the field.

Role Description

Title: Medical Device Sales Specialist

• Location: Johannesburg (with travel in Gauteng and nearby provinces)

• Reports to: Managing Director / Head of Sales / Business Development

• Key Responsibilities:

• Develop hospital, clinic, and distributor accounts for medical devices.

• Promote products to procurement officers, pharmacists, and doctors.

• Handle product demonstrations and tender submissions.

• Ensure compliance with SAHPRA and company marketing regulations.

• Meet sales targets and prepare monthly sales reports.

• Requirements:

• Diploma or degree in Biomedical / Life Sciences / Pharmacy / Marketing.

• 2–5 years of experience in medical device or pharmaceutical sales.

• Valid driver's license and own car.

• Strong knowledge of Gauteng healthcare facilities.

• Excellent communication and relationship-building skills.

1. Updated CV
2. HPCSA Registration and Card
3. Qualification Certificates
4. ID/Passport
5. Passport Sized Photo
6. Professional Indemnity
7. Proof of Sars
8. Proof of Banking Details
9. Work Permit If Applicable