Responsible for billing third-party payers through a claims processing vendor and/or appealing denied professional and/or hospital claims. The role identifies billing issues affecting hospital and physician claims/accounts, takes corrective action to ensure timely and appropriate claim filing, and performs follow-up activities to resolve reimbursement issues and account balances. Works in Epic Resolute and supports account resolution, refund processing, and quality assurance efforts in a hybrid remote environment.
Requirements & Qualifications
- Associate’s degree or equivalent
- Minimum of 3 years of patient accounts experience
- Minimum of 2 years of Epic Revenue Cycle experience
- Preferred: 2–3 years of EPIC PB Resolute experience
- Working knowledge of CPT, ICD-9, HCPCS, modifier coding, and place-of-service requirements
- Understanding of state and federal billing regulations and payer guidelines
- Ability to meet quality assurance and productivity requirements
- Strong communication, documentation, and teamwork skills
Location
Texas, US
Employment Type
Full-time
Experience Level
Senior
Remote work allowed
Yes
Posted
1 month ago