Medical Billing Specialist (Remote)

Tandym Group Internal; Naperville (IL); Remote; USD 50,000 - 75,000; Full time

Job summary

Tandym Group is actively seeking talented Medical Billing Specialists for remote opportunities. In this role, you will focus on critical aspects of billing, claims processing, and revenue cycle management utilizing the Epic software. Successful candidates will have substantial experience in the revenue cycle, demonstrating the ability to manage multiple accounts efficiently while ensuring high standards of customer service.

Qualifications

• 5+ years of A/R billing and claims processing experience.
• Strong background in lifecycle billing and denial management.
• Proven ability to manage work queues and resolution.

Responsibilities

• Focus on billing, claims processing, and revenue integrity.
• Manage full-lifecycle billing from claim submission to resolution.
• Ensure timely billing resolution and effective communication with stakeholders.

Skills

Revenue Cycle Management

Claims Processing

Billing Adjustments

Customer Service

Denial Management

Tools

Epic HB & PB software

Job description

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

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.
• 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 40-60 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.