Billing Rejection Specialist

We are seeking a detail-oriented Billing Rejection Specialist to support healthcare revenue cycle operations by identifying, investigating, and resolving rejected medical claims. In this remote role, you will monitor clearinghouse portals, communicate directly with insurance payers, and correct billing discrepancies to help ensure claims are processed accurately and efficiently. You will investigate rejection causes ranging from patient information errors and insurance eligibility issues to coding discrepancies and provider credentialing mismatches. Working closely with billing teams and medical coders, you will help prevent recurring errors, improve resubmission turnaround times, and maintain accurate records. Your work will contribute to smoother reimbursement workflows and stronger financial operations within a healthcare environment. This full-time opportunity is suited to a proactive problem-solver who can work independently, communicate professionally, and reliably support the required night shift from 6:00 PM to 3:00 AM IST.

• Professional experience: 1–3 years of experience in medical billing, healthcare revenue cycle operations, or high-volume healthcare administration.

• Billing systems knowledge: Hands-on familiarity with major clearinghouse platforms and electronic health record or practice management systems, such as Waystar, Cortex, Epic, Athenahealth, eClinicalWorks, or NextGen.

• Medical billing fundamentals: Foundational knowledge of medical terminology, health insurance structures, Medicare, Medicaid, commercial insurance plans, and CMS-1500 claim formats.

• Claims processing expertise: Understanding of claim rejection workflows, eligibility verification, billing corrections, CPT and ICD-10 coding basics, insurance data validation, and claim resubmission procedures.

• Data accuracy and attention to detail: Excellent alphanumeric data entry and verification skills, with the ability to identify inconsistencies and maintain accurate patient, insurance, and claim information.

• Analytical and problem-solving abilities: Strong investigative skills and the ability to independently diagnose billing errors, determine root causes, and implement appropriate corrective actions.

• Communication and payer outreach: Professional telephone etiquette, clear written and verbal communication, and strong interpersonal skills for effective interaction with insurance representatives and internal colleagues.

• Organization and time management: Ability to manage a high volume of rejected claims, prioritize competing tasks, maintain detailed records, and meet resolution timelines.

• Education: High school diploma or equivalent is required. An associate degree or additional education or training in healthcare administration or medical billing is preferred.

• Shift availability: Willingness and ability to work the required night shift from 6:00 PM to 3:00 AM IST consistently.

• Remote work readiness: Ability to work independently in a remote environment while maintaining productivity, accuracy, and effective communication with the wider team.