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 action to ensure timely claim filing, performs follow-up activities, and resolves reimbursement issues to support accurate account resolution.
This position works in a hybrid remote schedule, Monday through Friday, 8:00 AM to 5:00 PM.
Requirements & Qualifications
Minimum Qualifications
- Associate’s degree or equivalent
- Minimum of 3 years of patient accounts experience
- Minimum of 2 years of Epic Revenue Cycle experience
Preferred Qualifications
- 2–3 years of EPIC PB Resolute experience
Key Skills and Duties
- Working knowledge of CPT, ICD-9, HCPCS, modifier coding, and POS requirements
- Experience billing payers for hospital and professional patient accounts
- Ability to resolve payer rejections, process corrections, and manage follow-up on assigned accounts
- Experience identifying denials, underpayments, and appeal opportunities
- Ability to update account information in Epic Resolute and process adjustments and refunds
- Strong QA, productivity, communication, and teamwork skills
- Ability to assist with training and mentoring new employees
Location
Texas, US
Employment Type
Full-time
Experience Level
Senior
Remote work allowed
Yes
Posted
1 month ago