Overview In this role you will manage billing for third-party payers and appeal denied claims to ensure timely reimbursement. You will work within Epic Resolute to support hospital and physician accounts, identify billing issues, and perform follow-up to resolve accounts. Your work impacts revenue cycle effectiveness and payer compliance across state and federal guidelines. This is an opportunity to contribute to a high-volume, cross-functional team focused on accurate claims processing and professional growth within the department. ResponsibilitiesBill payers and clients for hospital and/or professional patient accountsResolve payer rejections daily to enable submission of claimsPerform online corrections and follow-up on edited claimsIdentify denials and underpayments and appeal as neededReview, research, and process denied claimsUpdate account information and documents in Epic ResoluteProcess account adjustments and issue refunds according to policiesValidate payments/adjustments and maintain productivity targetsAssist in training and mentoring of new employeesParticipate in quality assurance reviews and stakeholder reportingMaintain knowledge of the work unit and contribute to policies and proceduresMaintain professional communication with customers, colleagues, and vendorsWork effectively in a team environment Key requirementsAssociate degree or equivalentMinimum 3 years patient accounts experienceMinimum 2 years Epic Revenue Cycle experienceKnowledge of CPT, ICD-9, HCPCS, modifiers and POS requirementsExperience billing payers and resolving claim issuesStrong QA and productivity performancestrong communicationteamwork/collaborationattention to detailEpic Resolute proficiencyEpic Revenue Cycle experienceclaims processing and appeals
Not specified in the original listing.
Not specified in the original listing.
