The Billing Payer Response Analyst is responsible for review and correction of claims rejected by the payer. This includes identifying trends and requesting updates to process and system master files to reduce future rejections by the payer.
• Review and timely resolution of payer claim rejections, including but not limited to claim resubmission and update of payer identification for the account.• Documenting root cause of payer rejection for trending and staff education.• Requesting process and/or system edit modifications to eliminate or reduce future payer claim rejections.• Trending of payer rejections for delivery to Billing Manager and distribution to impacted departments.• Practice and adhere to the “Code of Conduct” philosophy and “Mission and Value Statement”.• Other duties as assigned
• English – Spanish Language (Oral and writing B2+ or above). • Must have a high school diploma. • At least 1 year of experience in Customer Service or Backoffice positions. • The resource will adjust its local schedule with the resources supporting this position during Daylight Savings time changes in the Eastern Time Zone. • A genuine interest in working with and helping customers. • Must possess excellent communication skills and involvement. • Demonstrated experience in providing high levels of customer satisfaction and performance in a high transaction volume/high demand environment preferred. • Good presentation and a polite, tactful, and friendly character. • Healthcare experience is a plus.
Auxis prioritizes employee growth and development to help you advance your career. Auxis’ culture empowers you to be your best in the interest of a common team goal. We are constantly striving to improve our culture and environment and have invested in tools to continue to have better visualization of the pulse of our organization.
Benefits
Now part of Grant Thornton US, Auxis is a leading consulting and tech-enabled nearshore outsourcing pioneer focused on helping organizations achieve a competitive edge through innovative processes, leading technologies, and world-class shared services. Fortune 1000 and upper-middle-market organizations have relied on Auxis’ customized solutions since 1997 to obtain real benefits and ROI from their transformation programs.
Recognized as a top outsourcing company globally by respected research firms, Auxis delivers comprehensive solutions to modernize and scale business operations across Finance, IT, Cybersecurity, HR, Customer Service, and specialized industry functions. Its nearshore delivery platform is supported by award-winning Digital Transformation capabilities spanning Intelligent Automation & RPA, AI, Agentic, Analytics, and Cloud.
Auxis is a subsidiary of Grant Thornton, the brand name for Grant Thornton LLP and Grant Thornton Advisors LLC, the U.S. member firms of Grant Thornton International Ltd. Grant Thornton is part of the Grant Thornton International Limited network, which provides access to its member firms in more than 150 global markets.
Grant Thornton International Limited (GTIL) and the member firms, including Grant Thornton LLP and Grant Thornton Advisors LLC, are not a worldwide partnership. Services are delivered by the member firms. GTIL and its member firms are not agents of, and do not obligate, one another and are not liable for one another’s acts or omissions. Please see www.grantthornton.com for further details.
