Billing & Rejections Analyst
Core
Process healthcare claims, resolve rejected/denied claims, and ensure billing compliance to optimize revenue cycle performance.
Role type
Billing & Rejections Analyst
Builds
Accurate claim submissions and resolved billing issues for healthcare payers
Domain
Healthcare Revenue Cycle Management (RCM)
Required skills
Claim processing, denial management, root cause analysis, regulatory compliance (HIPAA), medical terminology, ICD-10/CPT/HCPCS coding, data analysis, MS Excel
Preferred skills
Healthcare BPO/RCM experience, billing software (Waystar, Realmed, Availity, Change Healthcare, ViaTrack), MS Office suite
Responsibilities
Process claims in CS queues and manage unbilled items; Review and analyze rejected/denied claims to implement corrective actions; Monitor claim rejection trends for process improvements; Collaborate with internal teams and payers to resolve billing issues; Maintain accurate documentation of billing activities; Meet daily/weekly productivity and quality targets.
Seniority
Mid-level, hands-on IC