Hybrid Patient Billing & Claims Specialist (Epic)

South Shore Health; Weymouth (MA); Hybrid; USD 31,000 - 44,000; Full time

Benefits offered by this job

Hybrid/Remote options after training

Job summary

South Shore Health in Weymouth, MA is seeking a full-time Patient Accounts Representative to manage Medicare billing workflows and insurance claims using the EPIC Billing System. The role handles denials, aging accounts, and patient communications to ensure timely payments.

Hybrid or remote options may be available after training; strong knowledge of HIPAA and payer policies is highly desired. Work hours are Day shift, with 40 budgeted hours weekly and competitive hourly compensation.

Qualifications

• Knowledge of healthcare billing, codes, and reimbursement methodologies.
• Proficiency in data entry and basic computer skills.
• Excellent organizational and multitasking skills.
• Strong interpersonal and communication skills.
• Strong analytical and independent decision making skills.

Responsibilities

• Maintain up-to-date knowledge of federal, state, and payer billing regulations and code sets.
• Review and submit UB-04 and 1500 claims in EPIC and through the clearinghouse.
• Initiate collections for aged accounts and collaborate with denial management for appeals.
• Process credits, refunds, or retractions and document actions in the EPIC notes.
• Communicate with patients to obtain needed information and verify demographics.

Skills

Healthcare billing

HIPAA compliance

Communication skills

Analytical skills

Education

High school diploma

2 years hospital/physician billing experience

Tools

Epic Billing System

Mytime payroll

MS Outlook

Sharepoint/OneDrive

Job description

South Shore Health in Weymouth, MA is seeking a full-time Patient Accounts Representative to manage Medicare billing workflows and insurance claims using the EPIC Billing System. The role handles denials, aging accounts, and patient communications to ensure timely payments.

Hybrid or remote options may be available after training; strong knowledge of HIPAA and payer policies is highly desired. Work hours are Day shift, with 40 budgeted hours weekly and competitive hourly compensation.