Revenue Cycle Billing Specialist Job in Firstsource

About Firstsource

Firstsource Solutions is a leading provider of customized Business Process Management (BPM) services. We specialize in helping clients stay ahead through transformative solutions that optimize business processes, driving increased efficiency, deeper insights, and superior outcomes.

As trusted brand custodians and long-term partners to over 100 leading global brands, we have a presence in the US, UK, Philippines, and India. Our rightshore delivery model offers end-to-end solutions across industries including Healthcare, Telecommunications & Media, and Banking, Financial Services & Insurance.

We proudly serve Fortune 500 and FTSE 100 companies.

Job Title: Senior Customer Service Associate (Senior CSA)

• Grade: H1
• Job Category: Associate
• Function/Department: Operations

Essential Duties and Responsibilities

• Claims Filing: File claims using appropriate forms and attachments.
• Denial Research and Appeals: Investigate account denials and file written appeals when necessary.
• Insurance Billing: Evaluate information from clients to determine the correct insurance to bill, ensuring necessary attachments or supporting documentation are included with each claim.
• Account Research: Research account details to gather necessary attachments and documentation for each claim.
• Claim Integrity: Ensure the accuracy and integrity of each claim filed.
• Documentation: Record all efforts and actions in the CUBS system and any other required systems.
• Patient Information Verification: Verify patient details and benefits before submitting claims.
• Account Appeals: Write appeals for accounts when required.
• Client Correspondence: Draft clear and professional letters to clients.

Additional Duties and Responsibilities

• Goal Achievement: Meet regular goals and objectives as set by management.
• Confidentiality: Maintain confidentiality of account and patient information at all times.
• Compliance: Actively participate in the Corporate Compliance Program and ensure adherence to company policies.
• Project Assistance: Assist with other ad hoc projects assigned by management.
• Relationship Management: Maintain effective working relationships with state and federal agencies.
• Account Resolution: Resolve accounts in a timely manner.
• Workspace Organization: Maintain a neat, orderly, and efficient work station.

Educational and Experience Requirements

• Minimum Education: High school diploma or equivalent.
• Experience: 1-3 years of experience in insurance billing is preferred.
• Insurance Knowledge: Familiarity with various insurance payers is preferred.
• Technical Skills: Proficiency in PC-based applications with the ability to type 30-40 words per minute.
• Communication Skills: Strong written and verbal communication skills.
• Organization and Time Management: Ability to prioritize tasks effectively in a busy environment.
• Professionalism: Capable of presenting oneself in a courteous and professional manner at all times.
• Self-Motivation: Ability to stay focused and productive with little or no supervision.

Working Conditions

• Environment: Call center setting.
• Physical Requirements: Must be able to sit for extended periods of time.