This is a fully remote position, open to applicants in United States.

📋 Description

• Address the most intricate claim challenges, including denials and payer escalations.

• Utilize advanced understanding of payer regulations and compliance standards.

• Ensure documentation is maintained to be audit-ready.

• Act as a subject matter expert in relevant areas.

• Contribute to training and quality improvement initiatives.

• Collaborate with leadership to enhance processes and payer performance.

⛳️ Requirements

• A high school diploma or General Education Degree (GED) is mandatory.

• A minimum of 3 years of progressively responsible experience in hospital billing, follow-up, denial management, or similar revenue cycle functions is required.

• Preference will be given to candidates with experience in complex payer types (Medicare Advantage, Medicaid Managed Care, Workers’ Compensation, TPL, MSP).

• Advanced proficiency in Epic is preferred.

• Experience in supporting training, quality reviews, or process enhancements is preferred.