Epic Revenue Cycle Specialist: Claims & Billing

Orthopaedic Hospital; Los Angeles (CA); On-site; USD 36,000 - 50,000; Full time

Job summary

Orthopaedic Hospital in Los Angeles, CA is seeking a Revenue Cycle Specialist to join the Business Office and manage end-to-end billing, from claim submission to payment posting and account reconciliation.

The ideal candidate has 3+ years in healthcare revenue cycle, Epic Resolute billing experience, and a detail‑oriented approach to payer requirements, denials, and patient billing. On-site role with a collaborative team.

Qualifications

• High school diploma or GED required.
• 3+ years in healthcare revenue cycle, medical billing, accounts receivable, denial management, or related function.
• Epic Resolute Professional Billing experience required.
• Experience with commercial and government payers including Medi-Cal, workers' compensation, and third-party administrators.
• Ability to interpret EOBs, ERAs, payer correspondence, denial notices, payer portals, clearinghouse rejections, and timely filing rules.

Responsibilities

• Manage Epic work queues and resolve billing issues, claim rejections, and outstanding accounts.
• Review, validate, and submit professional and facility claims to payers.
• Correct registration and claim edits, clearinghouse rejections, and payer-specific errors.
• Process rebills, corrected claims, voids, replacements, and resubmissions.
• Submit required medical documentation and supporting records.

Skills

Analytical skills

Organizational skills

Problem-solving

Written communication

Verbal communication

Education

High school diploma or GED

Associate degree in Healthcare Administration

Associate degree in Business Administration

Finance or Accounting degree

Tools

Epic Resolute Professional Billing

Epic/CareConnect

Clearinghouse tools

Job description

Orthopaedic Hospital in Los Angeles, CA is seeking a Revenue Cycle Specialist to join the Business Office and manage end-to-end billing, from claim submission to payment posting and account reconciliation.

The ideal candidate has 3+ years in healthcare revenue cycle, Epic Resolute billing experience, and a detail‑oriented approach to payer requirements, denials, and patient billing. On-site role with a collaborative team.