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Claims Auditor & Billing Specialist at ReWorks Solutions. Job Title:. Claims Auditor & Billing Specialist. Job Type:. Full-Time, Remote. Working Hours:. US Hours (9am-5pm EST). Key Responsibilities. Conduct front-end audits of claims prior to submission to identify errors, inconsistencies, or missing information . Review documentation, scheduling data, authorizations, and payer requirements to research and resolve discrepancies . Communicate with providers and internal teams to verify services delivered and ensure accurate claim representation . Make corrections and updates within the practice management system to produce clean, submission-ready claims . Apply payer-specific and state-specific billing rules to ensure compliance and minimize denials . Interpret and apply billing regulations to resolve new or complex scenarios effectively . Review Explanation of Benefits (EOBs), Electronic Remittance Advice (ERA), and bank deposits to accurately post payments . Reconcile posted payments against deposit totals and investigate discrepancies or underpayments . Identify and escalate payer trends, issues, or inconsistencies . Generate and update patient invoices as needed . Follow up with patients or responsible parties on outstanding balances . Document all communication attempts and payment arrangements . Support timely resolution of accounts receivable to improve overall financial performance. Experience with medical billing, claims auditing, or revenue cycle management . Strong understanding of payer requirements, billing compliance, and claims processes . Ability to interpret and apply billing rules across multiple payers and states . Experience reviewing EOBs/ERAs and posting payments accurately . Proven ability to reconcile payments and identify discrepancies . Strong attention to detail and problem-solving skills . Excellent communication skills for collaborating with providers and internal teams . Ability to work independently and manage high-volume workflows. Company Location: South Africa.