Responsible for supporting the financial side of patient care by preparing, submitting, and following up on compliant hospital and physician insurance claims. Uses the Epic Billing System to work claim edits, resolve denials, manage aged accounts receivable, handle credits and refunds, and communicate with payers and patients to ensure timely reimbursement.
Key responsibilities include:
- Prepare, submit, and follow up on UB-04 and 1500 claims
- Resolve claim edits, denials, rejections, and billing discrepancies
- Work accounts receivable follow-up and denial queues in Epic
- Communicate with insurance companies, patients, and internal departments to resolve account issues
- Review credit balances, overpayments, and undistributed payments
- Document account activity and maintain compliance with billing regulations and HIPAA
- Assist with audits, workflow improvements, and process initiatives
Requirements & Qualifications
- High school diploma or above preferred
- 2 years of hospital and/or physician billing experience preferred
- Knowledge of healthcare billing, insurance plans, codes, and reimbursement methodologies
- Proficiency with data entry and Microsoft Office Suite
- Strong organizational, multitasking, interpersonal, and communication skills
- Strong analytical and independent decision-making abilities
- Ability to use Epic and other web-based systems
- Hybrid or remote work options may be available
Location
Massachusetts, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
Yes
Posted
2 weeks ago