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BRSi

WebsiteLinkedInAll Job Openings

201 - 500 employees

⚕️ Healthcare Insurance

💸 Finance

☁️ SaaS

Healthcare Insurance • Finance • SaaS

BRSi is a company that specializes in providing customized solutions to improve healthcare efficiency and revenue management. With over 30 years of experience, BRSi focuses on empowering revenue growth and compliance through advanced technology platforms. The company offers solutions that maximize reimbursements, streamline federal programs, and enhance operational efficiency for publicly funded healthcare providers and other organizations. BRSi's expertise in healthcare financial processes and health information technology helps in delivering superior patient care through better financial health.

📋 Description

• Review, correct, and resolve claim errors to facilitate the accurate and timely submission of claims to insurance carriers. • Perform billing activities within assigned work queues. • Research and correct claim discrepancies. • Ensure compliance with established standard operating procedures, payer requirements, and organizational policies. • Apply established SOPs and payer-specific guidelines when resolving claim edits and rejections. • Submit corrected claims within established productivity and quality standards. • Document claim corrections, actions taken, and outcomes in accordance with departmental procedures. • Monitor assigned work queues and prioritize tasks to meet required turnaround times. • Identify recurring claim issues and communicate trends or concerns to the Billing Lead. • Participate in training activities and process improvement initiatives. • Collaborate with team members and other departments to obtain information necessary for claim resolution. • Maintain compliance with HIPAA, payer requirements, and organizational policies regarding patient and billing information. • Perform other duties as assigned.

🎯 Requirements

• High School Diploma or equivalent required. • One year of medical billing, claims processing, revenue cycle, or related healthcare administrative experience preferred. • Experience working claim edits, rejections, denials, or billing error queues preferred. • Familiarity with commercial and other third-party payer requirements preferred.