Billing Rejection Specialist at Harris. Location Information: . 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
Billing Rejection Specialist at Harris