Billing Representative II

As a full-time Billing Representative II, the candidate will analyze and resolve claims issues while working remotely, ensuring a quality experience that impacts patients' financial well-being. Key responsibilities Analyze and apply denials to third-party carriers while complying with departmental rules and procedures Utilize automation tools to verify eligibility and claim status, and create worklists to analyze trends for claims resolution Communicate with members and providers to evaluate claims errors and ensure accurate data capture for processing Required qualifications High School Diploma/GED or equivalent work experience Demonstrated ability using computer applications, including Outlook and Excel Strong keyboard and navigation skills with the ability to learn new software Must have a dedicated work area that ensures information privacy Ability to maintain the security of sensitive company documents