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.
