Epic Resolute Billing Specialist - Revenue Cycle

Healthcare IT Leaders, LLC; California; On-site; USD 55,000 - 96,000; Full time

Job summary

Healthcare IT Leaders, LLC is seeking an experienced Revenue Cycle Specialist, focusing on Epic Resolute Professional Billing workflows and complex claims management in the Los Angeles area.

The role involves insurance follow-up, denial resolution, and payment posting across Medicare, Medi-Cal, and other payers. A minimum of 2 years in healthcare revenue cycle is required, with strong CPT/HCPCS/ICD-10-CM knowledge.

Qualifications

• Hands-on Epic Resolute Professional Billing experience required.
• Minimum 2 years in healthcare revenue cycle or related roles.
• Experience with Medicare, Medi-Cal, and other payers.
• Knowledge of CPT, HCPCS, ICD-10-CM, and denial codes.
• Strong ability to review EOBs, ERAs, and payer communications.

Responsibilities

• Support Epic Resolute Professional Billing workflows (claims processing, workqueues, remittance, guarantor accounts, patient billing).
• Manage insurance follow-up, AR, denials, appeals, and payment discrepancies.
• Review and interpret EOBs, ERAs, payer correspondence, denial notices, and rejections.
• Research payer requirements, timely filing guidelines, and appeal procedures.
• Collaborate with Medicare, Medi-Cal, California Medicaid managed care plans, commercial insurers, workers' compensation, and third-party administrators.
• Apply CPT, HCPCS, ICD-10-CM, modifiers, medical necessity, claim forms, and denial codes to support accurate billing and reimbursement.
• Identify recurring billing issues and collaborate with revenue cycle teams to improve collections, reduce denials, and optimize workflows.
• Support revenue cycle reporting, account research, and resolution of outstanding receivables.

Skills

Epic Resolute Professional Billing

Revenue cycle management

Claims processing

Denial management

Tools

Epic Workqueues

Remittance processing

Payer portals

Job description

Healthcare IT Leaders, LLC is seeking an experienced Revenue Cycle Specialist, focusing on Epic Resolute Professional Billing workflows and complex claims management in the Los Angeles area.

The role involves insurance follow-up, denial resolution, and payment posting across Medicare, Medi-Cal, and other payers. A minimum of 2 years in healthcare revenue cycle is required, with strong CPT/HCPCS/ICD-10-CM knowledge.