Billing & Rejections Analyst
Core
Process healthcare claims, resolve rejected/denied claims, and ensure billing compliance to minimize financial leakage.
Role type
Healthcare billing and denial management analyst
Builds
Accurate claim submissions and optimized revenue cycle performance
Domain
Healthcare administration and revenue cycle management
Required skills
Claim processing, denial management, root cause analysis, regulatory compliance (HIPAA), medical terminology, ICD-10/CPT/HCPCS coding, data analysis
Preferred skills
Healthcare BPO/RCM experience, billing software (Waystar, Realmed, Availity, Change Healthcare, ViaTrack), MS Excel/Google Sheets
Technologies
Waystar, Realmed, Availity, Change Healthcare, ViaTrack, MS Excel, MS Word, Google Sheets
Responsibilities
Process claims in CS queues and manage unbilled items, review and analyze rejected claims to implement corrective actions, monitor rejection trends for process improvements, collaborate with internal teams and payers to resolve billing issues, maintain accurate documentation and audit trails, meet daily/weekly productivity and quality targets
Seniority
Mid-level individual contributor