A contract opportunity focused on applying deep revenue cycle expertise to improve automation tools that enhance claim accuracy and first-pass acceptance across professional fee and facility billing environments. This role sits at the intersection of billing operations and healthcare technology development.
$80/hr | Flexible schedule | Remote
Requirements & Qualifications
Core requirements
- Demonstrated expertise in medical billing and claims management, including direct management responsibility for billing staff productivity and quality performance.
- Deep command of professional fee and facility billing requirements, HIPAA 837 transaction standards, and clearinghouse operations.
- Comprehensive knowledge of Medicare, Medicaid, and commercial payer billing rules, including payer-specific edits and adjudication logic.
- Proficiency with enterprise billing platforms such as Epic, Athenahealth, AdvancedMD, or equivalent, plus clearinghouse tools.
- Proven ability to identify billing errors, coding inaccuracies, and compliance gaps within complex or high-volume claim outputs.
- Exceptional written English communication skills with precision sufficient for structured annotation and compliance documentation.
Additional strengths
- Active credentialing such as CPC, CCS, CHFP, or CRCR is a strong differentiator.
- Background in multi-specialty physician group, hospital, or health system billing operations is preferred.
- Experience with RCM technology implementations is advantageous.
- Familiarity with payer contract interpretation and billing compliance program oversight.
Location
N/A
Employment Type
Contractor
Experience Level
Manager
Remote work allowed
Yes
Posted
1 month ago