Business Office Representative
Core
Manage medical billing receivables, resolve claim denials, and process payment adjustments for clinical services.
Role type
Medical billing specialist
Builds
Accurate insurance claims and payment postings
Domain
Healthcare revenue integrity
Required skills
Medical billing, claim denial resolution, Epic system navigation, HIPAA compliance, data entry, payer policy research
Preferred skills
Medical office experience, UBO4/1500F05 form knowledge, spreadsheet proficiency
Responsibilities
Review and process claim edits and denials, research and resolve payer requests, submit corrected claims and appeals, post remittances to correct accounts, document actions and follow up with payers, respond to patient complaints regarding coverage
Seniority
Entry-level to Junior