Harris Computer dezvoltă și operează software esențial pentru organizații din sectorul public, domeniul sănătății, utilități și alte industrii specializate. Portofoliul său sprijină peste 100.000 de clienți din America de Nord, Europa, Asia și Australia, iar echipele sale se concentrează pe achiziționarea unor companii de software promițătoare, consolidarea operațiunilor acestora și susținerea unei creșteri durabile. Pentru candidații care explorează oportunități în domeniul software-ului pentru companii, Harris Computer oferă un mediu divers, modelat de produse și servicii dedicate unor industrii specifice, concepute pentru a ajuta clienții să își atingă obiectivele operaționale.
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.
Descriere
- 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.
Cerințe
- 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.