Hybrid Patient Billing Specialist — EPIC Expert

Talentify; Westwood (MA); Hybrid; USD 34,000 - 37,000; Full time

Benefits offered by this job

Medical, dental & vision

401(k) Retirement Plan

PTO / Paid time off

Job summary

Actalent in Westwood, MA is seeking a detail-oriented patient billing representative to manage inquiries and billing issues across patients, insurers, and providers. The role emphasizes HIPAA compliance and accurate documentation in a fast-paced setting.

The position is contract-based, on-site with a hybrid arrangement, and runs 8am–3pm, Monday to Friday. Prior EPIC and multi-specialty ambulatory clinic experience are valued, with pay between $25.00–$27.00 per hour.

Qualifications

• High School Diploma required.
• 3-5 years of relevant experience.

Responsibilities

• Respond to a high volume of patient inquiries via phone, mail, and electronic messaging regarding billing and account-related issues.
• Research and resolve patient billing inquiries by liaising with insurance companies, third-party payers, and other external contacts.
• Collect outstanding balances and update patient demographic and insurance information during patient interactions.
• Verify insurance eligibility using payer websites, available technologies, and direct communication with insurance companies.
• Understand hospital and professional billing practices, including reading and interpreting EOBs, billing commercial and government payers, resolving claim denials, and assisting patients with coordination of benefits (COB) and other insurance-related issues.
• Respond to complex patient and guarantor concerns, including payer denials, coding questions, secondary billing, coordination of benefits, and verification of copays, coinsurance, and deductibles.
• Review PCP and self-pay exception reports and resolve outstanding issues.
• Identify recurring billing trends or issues and communicate findings to leadership while assisting with process improvement efforts.
• Maintain accurate, timely, and complete documentation in accordance with departmental procedures and hospital policies.
• Protect the confidentiality and integrity of patient information by following HIPAA regulations and privacy standards.
• 1+ year of EPIC experience
• Experience working in a multi-specialty ambulatory clinic
• Ability to communicate effectively with insurance companies and understand the claims process

Skills

EPIC experience

Insurance communication

Claims process understanding

Inquiries handling

Education

High School Diploma

Job description

Actalent in Westwood, MA is seeking a detail-oriented patient billing representative to manage inquiries and billing issues across patients, insurers, and providers. The role emphasizes HIPAA compliance and accurate documentation in a fast-paced setting.

The position is contract-based, on-site with a hybrid arrangement, and runs 8am–3pm, Monday to Friday. Prior EPIC and multi-specialty ambulatory clinic experience are valued, with pay between $25.00–$27.00 per hour.