Billing Support Specialist

Job Summary

To tackle complex billing challenges, the full-time remote Billing Support Specialist will manage assigned payers on the Revenue Cycle Management team, investigating claim denials, optimizing workflows, and providing guidance to offshore team members.

Key responsibilities

• Investigate claim denials and ensure accurate resolution of complex claims
• Analyze operational and denial trends to identify opportunities for workflow optimization
• Provide guidance and support to offshore team members on payer-specific workflows and best practices

Required qualifications

• 2+ years of experience in healthcare billing, insurance, patient relations, or medical claims
• Comprehensive understanding of insurance policies, claim processing, and appeals procedures
• Expert knowledge of Denial Language and Carrier CARC Codes
• Basic to intermediate level Excel experience, including data formatting and pivot tables
• Critical thinking skills to evaluate complex cases and identify solutions