Epic Hospital Billing Specialist

Beth Israel Lahey Health; United States; On-site; USD 29,000 - 39,000; Full time

Job summary

Beth Israel Lahey Health is seeking a Hospital Billing Specialist to review accounts in the Epic system, manage denial and follow-up queues, and contact carriers to verify payments. You will ensure accurate billing, application of payments, and timely resolution of claims.

Two years of AR/Billing experience and strong communication skills are required. This on-site role involves working with insurers, patients, and internal teams to maximize reimbursement while adhering to department policies.

Qualifications

• High School Diploma / GED required.
• At least two years AR/Billing experience.
• Experience with EPIC preferred.

Responsibilities

• Utilizes the Epic Hospital Billing System to review and monitor accounts through the Billing, Denial, & Follow-Up work queues.
• Work assigned outstanding and denied accounts within Hospital Billing, Follow Up, & Denial work queues while maintaining established productivity requirements.
• Contacts insurance carriers or other responsible parties to confirm payment dates, question why a claim was denied or questions why a claim was not processed for payment or denial.
• Performs all Hospital Billing, Follow Up, and Denial activities necessary to obtain payment/resolution of claims.
• Reviews entire account to ensure claims were billed properly, payments were applied correctly, and all necessary adjustments were made prior to moving to next responsible party and/or adjusting balances and removing from work queue(s).
• Gathers all necessary documentation needed to have claims reprocessed/adjudicated for maximum reimbursement - Informs and/or transfers to management of any problem accounts that require escalation within 2 days of identification

Skills

Clear communication

Phone etiquette

Email etiquette

Billing software

Problem solving

Independent worker

Education

High School Diploma / GED

Tools

Epic

Job description

Beth Israel Lahey Health is seeking a Hospital Billing Specialist to review accounts in the Epic system, manage denial and follow-up queues, and contact carriers to verify payments. You will ensure accurate billing, application of payments, and timely resolution of claims.

Two years of AR/Billing experience and strong communication skills are required. This on-site role involves working with insurers, patients, and internal teams to maximize reimbursement while adhering to department policies.