Billing Rejection Specialist
# Billing Rejection Specialist **Harris Global Business Services Inc.** · India · `Remote` · `Full Time` 💼 **Уровень роли:** `Mid-level` 🕒 **Статус:** *Опубликовано: сегодня* · *Источник: Himalayas (JSON API)* --- ### Top Skills & Match 🎯 **Ключевой стек роли:** `[Billing-and-Rejection-Analyst]` `[Medical-Billing-Specialist]` `[Claims-Specialist]` `[Revenue-Cycle-Specialist]` `[Healthcare-Billing-Coordinator]` `[Denials-Specialist]` `[Claims-Denial-Specialist]` `[Billing-Resolution-Specialist]` `[Denials-Management-Specialist]` `[Denial-Management-Specialist]` `[Appeals-And-Denial-Specialist]` --- ### About the Role Key Responsibilities - Clearinghouse Monitoring: Daily review and management of clearinghouse portals to capture, sort, and action front-end rejections. - Direct Payer Communication: Contact insurance companies directly via phone or web portals to investigate complex claim rejections, verify active patient eligibility, and check benefit coverage details. - Root Cause Analysis: Investigate why claims were rejected by the clearinghouse or payer, distinguishing between demographic errors, missing insurance details, coding discrepancies, and provider credentialing mismatches. - Claim Correction & Resubmission: Efficiently update and correct patient demographics, insurance policy numbers, CPT/ICD-10 codes, and modifiers within the practice management or EHR software before resubmitting. - Cross-Functional Collaboration: Partner with internal staff and internal medical coders to address data capture errors and help prevent recurring rejections. - Tracking & Reporting: Maintain accurate logs of rejected claims, common rejection trends, and resolution turnaround times, providing visibility to billing management. Qualifications & Skills - Experience: 1 to 3 years of professional experience in medical billing, revenue cycle operations, or high-volume healthcare administration. - Technical Proficiency: Hands-on familiarity with major clearinghouses and electronic health record (EHR) / practice management software (e.g., Waystar, Cortex, Epic, Athenahealth, eClinicalWorks, NextGen). - Data Accuracy: Exceptional attention to detail with strong alphanumeric data entry and verification skills. - Industry Knowledge: Solid foundational understanding of medical terminology, health insurance structures (Medicare, Medicaid, Commercial), and CMS-1500 claim formats. - Problem-Solving & Communication: Strong telephone etiquette and interpersonal communication skills for effective payer outreach, alongside analytical capability to diagnose billing errors independently. - Shift Flexibility: Proven ability and commitment to reliably work the 6:00 PM to 3:00 AM IST night shift schedule. Education & Credentials - High school diploma or equivalent required; Associate's degree or general background in healthcare administration or medical billing preferred. Shift: Night Shift (6:00 PM – 3:00 AM IST)-Remote India Originally posted on Himalayas
- Billing-and-Rejection-Analyst
- Medical-Billing-Specialist
- Claims-Specialist
- Revenue-Cycle-Specialist
- Healthcare-Billing-Coordinator
- Denials-Specialist
- Claims-Denial-Specialist
- Billing-Resolution-Specialist
- Denials-Management-Specialist
- Denial-Management-Specialist
- Appeals-And-Denial-Specialist
Наблюдалась 2026-10-14, впервые 2026-10-14, источник — Himalayas (JSON API).