Harris Computer
Harris Computer
Harris Computer razvija in upravlja programsko opremo, ki je ključnega pomena za delovanje organizacij v javnem sektorju, zdravstvu, energetiki, komunalnih dejavnostih in drugih specializiranih panogah. Njegov portfelj podpira več kot 100.000 strank v Severni Ameriki, Evropi, Aziji in Avstraliji, ekipe pa se osredotočajo na pridobivanje obetavnih programskih podjetij, krepitev njihovega poslovanja in podporo trajnostni rasti. Kandidatom, ki raziskujejo priložnosti na področju poslovne programske opreme, Harris Computer ponuja široko okolje, oblikovano z izdelki in storitvami za posamezne panoge, ki strankam pomagajo dosegati njihove operativne cilje.

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.

Opis

  • 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.

Zahteve

  • 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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