Billing Representative - Future Candidates

Duties and Responsibilities:

• Follow detailed instructions on claim processing projects
• Research, process and follow up on claim re-submittals
• Research and resolve billing problems or issues
• Maintain operational integrity by following policies and procedures; but also suggesting process improvements that will benefit patients, clinicians, colleagues and overall operations
• Commanding understanding of Client payers and their policies, payer portals, billing hub, and waystar
• Multi-tasking with all the above

Job Required Qualification:

• 3 to 5 years of US Healthcare Experience with the Knowledge & Skills required
• 3 years experience in US Health care handling – Physician, Outpatient Claims
• Understanding and validation of patient eligibility, knowledge of CPT codes, DX codes, NPI numbers, Revenue codes, and Provider Tax IDs.
• Proficient in Denial and Rejection handling