We are seeking a detail-oriented and proactive medical billing specialist to support an Epic implementation on a 3–6 month contract or longer. In this role, you will manage billing workflows, ensure claims are clean and accurate, support denial resolution, and help improve revenue cycle performance.
Key responsibilities include:
- Reviewing and correcting claims with errors such as missing modifiers, incorrect demographics, and coding discrepancies
- Managing denial workflows by pulling documentation, correcting billing codes, and resubmitting claims
- Monitoring incoming charges to ensure proper mapping into the billing module before claims are generated
- Maintaining work queues to prevent aging claims and keep workflows moving efficiently
- Supporting revenue cycle operations during the Epic Resolute implementation
Requirements & Qualifications
Minimum qualifications:
- High school diploma or equivalent required; associate degree in healthcare administration, business, or related field preferred
- 2 to 4 years of medical billing, claims processing, or revenue cycle experience
- At least 2 years of hands-on experience working billing work queues in Epic Resolute (HB, PB, or both)
- Knowledge of UB-04 and CMS-1500 claim forms, CPT, HCPCS, ICD-10, and revenue codes
- Familiarity with commercial, Medicare, Medicaid, and managed care billing requirements
Preferred qualifications:
- Epic Resolute Hospital Billing or Professional Billing certification, proficiency, or credentialed training
- Experience with clearinghouse platforms such as Availity, Waystar, or Experian, plus payer portals
- Experience with oncology billing or pharmacy billing
- CRCR, CPB, or comparable certification
- Experience supporting work queue build, routing rules, or workflow redesign initiatives
Location
Sacramento, California, US
Employment Type
Contractor
Experience Level
Intermediate Level
Remote work allowed
Yes
Posted
1 week ago