Medical Billing Specialist (Remote)

Tandym Group; Naperville (IL); Remote; USD 60,000 - 80,000; Full time

Job summary

A leading company in healthcare services, based in Illinois, is seeking experienced Medical Billing Specialists for 100% remote contracts. These roles emphasize comprehensive billing responsibilities, including claims management and revenue integrity, utilizing Epic software. Ideal candidates will have over 5 years of dedicated revenue cycle experience, with a strong ability to manage billing workflows and enhance customer interactions.

Qualifications

• 5+ years of revenue cycle experience in A/R billing and claims processing.
• Full-lifecycle billing expertise, including claims submission and resolution.
• Proficiency in managing billing workflows using Epic.

Responsibilities

• Manage billing, claims processing, and revenue integrity tasks.
• Identify and resolve billing discrepancies effectively.
• Process 40-60 accounts per day with a focus on timely resolution.

Skills

Revenue Cycle Experience

Claim Processing

Billing Adjustments

Denial Management

Customer Service

Communication Skills

Proactive Approach

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.