Remote Healthcare AR Specialist (Epic Resolute PB)

Community Care Cooperative (C3); Oregon; Hybrid; USD 55,000 - 75,000; Full time

Job summary

Community Care Cooperative (C3) seeks an experienced Accounts Receivable Specialist to join our revenue cycle team. The ideal candidate will have a strong background in professional billing, preferably in FQHCs, with expertise in Epic Resolute Professional Billing and MA regulations.

The role focuses on accurate billing workflows, charge capture, claims processing, and reimbursement across the healthcare revenue cycle.

Qualifications

• 3–5 years of medical billing experience, preferably in an FQHC or professional billing setting.
• Proficiency in Epic Resolute Professional billing processes.
• Strong knowledge of CPT, ICD-10, HCPCS coding and payer requirements.
• Ability to analyze claim form logic and resolve denials or discrepancies.
• Excellent attention to detail and organizational skills.
• Strong communication with insurers, patients, and internal teams.
• Familiarity with Massachusetts healthcare regulations and billing rules.
• Experience with Microsoft Office Suite.

Responsibilities

• Enter and review charges for accuracy, ensuring proper coding and payer compliance.
• Route charges to correct claim workflows using Epic charge router.
• Identify and resolve charge capture errors to prevent delays.
• Prepare and submit electronic and paper claims through Epic and clearinghouses.
• Apply claim form logic to resolve formatting errors before submission.
• Liaise with insurers to resolve discrepancies and rejections.
• Monitor claims for timely submissions with follow-up colleagues.
• Assist in managing accounts receivable and denial trend analysis.
• Perform payer appeals on denied claims when needed.
• Support billing workflows with Epic and other EHRs for posting and reporting.
• Reconcile daily payment batches and resolve posting discrepancies.
• Monitor unapplied payments and address posting errors promptly.

Skills

Attention to detail

Communication

Problem solving

Customer service

Billing knowledge

Education

High school diploma or equivalent

Associate or bachelor's degree preferred

Tools

Epic Resolute PB

CMS-1500 / UB-04 knowledge

Microsoft Office

Job description

Community Care Cooperative (C3) seeks an experienced Accounts Receivable Specialist to join our revenue cycle team. The ideal candidate will have a strong background in professional billing, preferably in FQHCs, with expertise in Epic Resolute Professional Billing and MA regulations.

The role focuses on accurate billing workflows, charge capture, claims processing, and reimbursement across the healthcare revenue cycle.