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Billing Representatives

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Job Description and Qualification:

The Billing Analyst is responsible for handling billing for insurance payers.  Maximize client reimbursement through accurate and timely entry and processing of hospital UB04 claims in accordance with client, company, and compliance standards.

Responsibilities and Duties
  • Edits claims, payer rejections and clean claim submission on a daily basis
  • Clear edited claims using various defined resources along with sound judgment and critical thinking while ensuring adherence to client, company, and compliance standards.
  • Process all assigned imported claims, rebill requests and rejected claims in a timely and accurate manner
  • Bill all late charges with proper billing codes, per Late Charge Workflow.
  • Reviews charges, patient information, and insurance information prior to billing to minimize underpayment, denials, and re-bill attempts. Properly submits claims to primary, secondary and tertiary insurance companies with the appropriate Explanation of Benefits (EOB) attachments, if applicable.
  • Reviews the control ID for all unbilled accounts and / or rebill requests.
  • Notates accounts for workflow back to the facilities for review of unclean claims.
  • Provide proactive and routine feedback to Revenue Cycle Manager regarding any deficiencies, variances, and/or other issues identified during the billing process, including variances with incoming inventory
  • Works closely with the DPS/facilities to obtain any missing information required to bill the claim
  • Bachelors degree of any course, undergrads are welcome to graduate
  • At least two years of AR, Billing, Claims experience or revenue cycle knowledge
  • Preferably coming from BPO/Shared Services, multinational companies and the like.
  • Available shifts - Day, Midshift or  Night shift
  • Willing to work onsite