Harris Computer
Harris Computer
„Harris Computer“ kuria ir valdo ypatingos svarbos programinę įrangą viešojo sektoriaus, sveikatos priežiūros, komunalinių paslaugų ir kitų specializuotų sričių organizacijoms. Jos produktų portfelis aptarnauja daugiau nei 100 000 klientų Šiaurės Amerikoje, Europoje, Azijoje ir Australijoje. Komandos daugiausia dėmesio skiria perspektyvių programinės įrangos įmonių įsigijimui, jų veiklos stiprinimui ir tvaraus augimo užtikrinimui. Kandidatams, besidomintiems įmonių programine įranga, „Harris Computer“ siūlo plačią aplinką, kuriai įtaką daro konkrečioms pramonės šakoms pritaikyti produktai ir paslaugos, padedantys klientams pasiekti veiklos tikslus.

Billing Rejection Specialist

Investigate and correct rejected medical claims, then resubmit them for processing. Monitor clearinghouses and contact payers to support healthcare revenue cycle operations.

Aprašymas

  • Review clearinghouse portals each day to identify, sort, and handle front-end claim rejections.
  • Contact insurers by phone or through web portals to investigate complex rejections, confirm patient eligibility, and verify benefit coverage.
  • Find the causes of rejected claims, such as demographic or insurance data errors, coding discrepancies, and provider credentialing mismatches.
  • Correct patient demographics, policy numbers, CPT/ICD-10 codes, and modifiers in practice management or EHR software before resubmitting claims.
  • Work with internal teams and medical coders to resolve data capture errors and reduce recurring rejections.
  • Track rejected claims, rejection patterns, and resolution times to keep billing management informed.

Reikalavimai

  • Bring 1–3 years of experience in medical billing, revenue cycle operations, or high-volume healthcare administration.
  • Have practical familiarity with major clearinghouses and EHR or practice management systems such as Waystar, Cortex, Epic, Athenahealth, eClinicalWorks, or NextGen.
  • Demonstrate strong attention to detail and accurate alphanumeric data entry and verification skills.
  • Understand medical terminology, Medicare, Medicaid and commercial insurance, and CMS-1500 claim formats.
  • Communicate professionally by phone and with payer representatives.
  • Be able to independently analyze and diagnose billing errors.
  • Be able and committed to working the regular night shift from 6:00 PM to 3:00 AM IST.
  • Have a high school diploma or equivalent.
  • An associate degree or general background in healthcare administration or medical billing is preferred.

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