Billing Rejection Specialist

Harris Global Business Services Inc.; United States; Remote; USD 3,700 - 5,800; Full time

Benefits offered by this job

Night shift (IST) remote work

Job summary

Harris Global Business Services Inc. in India seeks an experienced medical billing specialist to manage clearinghouse workflows, correct denials, and resubmit claims.

You will work 6:00 PM to 3:00 AM IST remotely, coordinating with internal staff and payers to reduce errors, verify eligibility, and ensure timely reimbursement across Medicare, Medicaid, and commercial plans. This role emphasizes data accuracy and strong communication.

Qualifications

• 1–3 years of professional experience in medical billing or revenue cycle operations.
• Familiarity with clearinghouses and major EHR/practice management software.
• Strong attention to detail and data verification skills.
• Knowledge of Medicare, Medicaid, commercial insurance and CMS-1500 formats.
• Excellent telephone etiquette and payer communication abilities.
• Willingness to work the night shift (6:00 PM – 3:00 AM IST).

Responsibilities

• Clearinghouse monitoring: daily review to capture and action front-end rejections.
• Direct payer communication via phone or portals to investigate denials and verify coverage.
• Root cause analysis of rejections and coding or demographic errors.
• Claim correction and resubmission in EHR/PM software with updated details.
• Cross-functional collaboration with internal staff and coders to prevent errors.
• Tracking and reporting on rejected claims, trends, and turnaround times.

Skills

Medical billing experience

Revenue cycle knowledge

Attention to detail

Payer outreach / communication

Education

High school diploma or equivalent

Associate's degree or healthcare billing background preferred

Tools

Waystar

Cortex

Epic

Athenahealth

eClinicalWorks

NextGen

Job description

Location: India

Key Responsibilities

• Clearinghouse Monitoring: Daily review and management of clearinghouse portals to capture, sort, and action front-end rejections.

• Direct Payer Communication: Contact insurance companies directly via phone or web portals to investigate complex claim rejections, verify active patient eligibility, and check benefit coverage details.

• Root Cause Analysis: Investigate why claims were rejected by the clearinghouse or payer, distinguishing between demographic errors, missing insurance details, coding discrepancies, and provider credentialing mismatches.

• Claim Correction & Resubmission: Efficiently update and correct patient demographics, insurance policy numbers, CPT/ICD-10 codes, and modifiers within the practice management or EHR software before resubmitting.

• Cross-Functional Collaboration: Partner with internal staff and internal medical coders to address data capture errors and help prevent recurring rejections.

• Tracking & Reporting: Maintain accurate logs of rejected claims, common rejection trends, and resolution turnaround times, providing visibility to billing management.

Qualifications & Skills

• Experience: 1 to 3 years of professional experience in medical billing, revenue cycle operations, or high-volume healthcare administration.

• Technical Proficiency: Hands-on familiarity with major clearinghouses and electronic health record (EHR) / practice management software (e.g., Waystar, Cortex, Epic, Athenahealth, eClinicalWorks, NextGen).

• Data Accuracy: Exceptional attention to detail with strong alphanumeric data entry and verification skills.

• Industry Knowledge: Solid foundational understanding of medical terminology, health insurance structures (Medicare, Medicaid, Commercial), and CMS-1500 claim formats.

• Problem-Solving & Communication: Strong telephone etiquette and interpersonal communication skills for effective payer outreach, alongside analytical capability to diagnose billing errors independently.

• Shift Flexibility: Proven ability and commitment to reliably work the 6:00 PM to 3:00 AM IST night shift schedule.

Education & Credentials

• High school diploma or equivalent required; Associate's degree or general background in healthcare administration or medical billing preferred.

Shift: Night Shift (6:00 PM – 3:00 AM IST)-Remote India