[Hiring] Billing Rejection Specialist @Harris Computer

Role Description

• Daily review and management of clearinghouse portals to capture, sort, and action front-end rejections.
• Contact insurance companies directly via phone or web portals to investigate complex claim rejections, verify active patient eligibility, and check benefit coverage details.
• Investigate why claims were rejected by the clearinghouse or payer, distinguishing between demographic errors, missing insurance details, coding discrepancies, and provider credentialing mismatches.
• Efficiently update and correct patient demographics, insurance policy numbers, CPT/ICD-10 codes, and modifiers within the practice management or EHR software before resubmitting.
• Partner with internal staff and internal medical coders to address data capture errors and help prevent recurring rejections.
• Maintain accurate logs of rejected claims, common rejection trends, and resolution turnaround times, providing visibility to billing management.

Qualifications

• 1 to 3 years of professional experience in medical billing, revenue cycle operations, or high-volume healthcare administration.
• Hands-on familiarity with major clearinghouses and electronic health record (EHR) / practice management software (e.g., Waystar, Cortex, Epic, Athenahealth, eClinicalWorks, NextGen).
• Exceptional attention to detail with strong alphanumeric data entry and verification skills.
• Solid foundational understanding of medical terminology, health insurance structures (Medicare, Medicaid, Commercial), and CMS-1500 claim formats.
• Strong telephone etiquette and interpersonal communication skills for effective payer outreach, alongside analytical capability to diagnose billing errors independently.
• Proven ability and commitment to reliably work the 6:00 PM to 3:00 AM IST night shift schedule.

Requirements

• High school diploma or equivalent required.
• Associate's degree or general background in healthcare administration or medical billing preferred.
• Night Shift (6:00 PM – 3:00 AM IST) - Remote India.