Medical Billing Specialist

Tandym Group Internal; Philadelphia (Philadelphia County); Remote; USD 60,000 - 80,000; Full time

Job summary

Tandym Group is seeking experienced A/R Billing Specialists for remote positions focusing on revenue cycle duties. Responsibilities include managing claims and billing adjustments within the Epic system, ensuring compliance, and maintaining effective communication with stakeholders. Ideal candidates should have extensive experience in both commercial and government billing, with a focus on customer service and timely billing processes.

Qualifications

• 5+ years of revenue cycle experience, specifically in A/R billing.
• Proven experience with CCI edits and MUE to ensure compliance.
• Experience managing 150+ accounts per day efficiently.

Responsibilities

• Focus on A/R billing, claims processing, and billing adjustments.
• Experience with denial management and appeal submissions.
• Manage work queues for timely billing resolution.

Skills

A/R Billing

Claims Processing

Billing Adjustments

Revenue Integrity

Customer Service

Communication

Tools

Epic HB & PB Software

Job description

Tandym Group has several immediate opportunities for A/R Billing Specialists with a client in Pennsylvania. These contracts will be 100% remote. These roles will focus specifically on A/R billing, claims processing, billing adjustments, and revenue integrity, with a strong emphasis on working within the Epic system.

Required Experience:

• 5+ years of revenue cycle experience, specifically focused on A/R billing, claim processing, and billing adjustments.
• Strong background in lifecycle billing, including initial claims, claim edits, and resubmitted claims.
• Proven experience working with CCI edits and MUE to ensure compliance and minimize rejections.
• Denial management experience, particularly working to identify and resolve issues related to billing discrepancies.
• Full-lifecycle billing experience, from claim submission through resolution.
• Experience with Appeals, including preparing and submitting appeals for claims denials, and ensuring proper billing adjustments are made when necessary.
• Experience with Epic HB & PB software (3+ years).
• Proficiency in working with billing workflows and revenue integrity using the Epic system.
• Experience with both commercial and government billing.
• Ability to understand and manage work queues effectively to ensure timely billing resolution.
• Proven track record of managing and processing 150+ accounts per day efficiently.
• Excellent customer service and communication skills, especially when interacting with internal teams and external stakeholders.
• Proactive and metrics-driven approach to ensure timely and accurate billing processes.