Billing Representative Revenue Cycle Department

About the role

Execute Targeted Denial Diagnostics: Systematically review and resolve specialized billing holds and complex claim denials to accelerate revenue recovery and minimize aging accounts receivable. Drive Report-Driven Claim Resolution: Analyze high-priority billing reports to strategically target, investigate, and correct bottlenecked claims daily. Advance Clean Claim Metrics: Review submitted claims against strict payer criteria to identify omissions, correct billing errors, and prevent recurring rejections at the source. Navigate Complex Payer Portals: Interface directly with insurance clearinghouses and payer networks to track claim progress and overturn adjudication errors. Collaborate in an Onsite Clinical Environment: Work closely with local administrative and clinical teams to resolve documentation gaps that cause front-end claim holds.

Responsibilities

• Execute Targeted Denial Diagnostics
• Drive Report-Driven Claim Resolution
• Advance Clean Claim Metrics
• Navigate Complex Payer Portals
• Collaborate in an Onsite Clinical Environment

Requirements

• High School diploma equivalency OR 1 year of applicable cumulative job specific experience

Qualifications

• Proven Denial Management Acumen
• Insurance Landscape Knowledge
• Analytical Problem-Solving
• Exceptional Communication
• Technical Agility

Skills

• Denial Management
• Insurance Coordination
• Claim Resolution
• Payer Interfaces
• Collaborative Work Environment

Benefits

Note: Required professional licensure/certification can be used in lieu of education or experience, if applicable.

Pay

Not specified

Schedule

Day Shift | Monday - Friday 8:00a - 5:00p