Billing Payer Response Analyst
Aviso de fuente externaen Auxis
RequirementsEnglish–Spanish B2+ (written & spoken).High school diploma required.Minimum 6 months to 1 year of experience in Customer Service, Back Office, or healthcare-related roles.Expe...
Salario
No especificado
Ubicación
Heredia, Costa Rica
Tipo de empleo
Tiempo completo
Modalidad
No especificado
Billing Payer Response Analyst
Heredia, Costa Rica
Descripción del empleo
RequirementsEnglish–Spanish B2+ (written & spoken).High school diploma required.Minimum 6 months to 1 year of experience in Customer Service, Back Office, or healthcare-related roles.Experience in U.S. healthcare, insurance, or medical billing is highly preferred.Experience reviewing claims, insurance denials, or billing discrepancies is a plus.Ability to work aligned with the U.S. Eastern Time Zone (Daylight Saving adjustments apply).Key ResponsibilitiesReview and analyze insurance claim rejections to determine the root cause of denials.Correct claim errors related to patient information, coverage, coding, or billing before resubmission.Resubmit corrected claims to insurance payers for processing.Document rejection reasons and identify recurring trends to support process improvements.Collaborate with internal teams to resolve billing issues and reduce future claim rejections.Maintain accurate documentation while ensuring compliance with established procedures and quality standards.
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