Director, Procurement Operations
Shermco Industries
Billing Claims Analyst, Epic
Healthlink Advisors
contract
Posted on:
Location Type: Remote
Location: Remote • 🇺🇸 United States
Visit company websiteJob Level
JuniorMid-Level
About the role
- Ticket Backlog Resolution: Review, analyze, and resolve outstanding tickets related to professional billing and claims workflows
- Prioritize issues based on claim impact, financial risk, and compliance requirements
- Provide clear, detailed documentation of resolution steps and communicate effectively with requesters
- Claims Workflow Support: Support end-to-end professional billing claims processes, including charge capture, claim edits, scrubbing, submission, denials, and remittance
- Identify patterns in recurring issues and recommend long-term process or system fixes
- Partner with IT to validate system build/configuration changes and test claim workflows
- Collaboration & Escalation: Collaborate with billing teams, patient financial services, compliance, and IT teams to troubleshoot and resolve issues
- Act as a subject matter expert (SME) for professional billing claims workflows
- Escalate systemic, high-priority, or compliance-related issues to leadership and external vendors as appropriate
Requirements
- Required PB claims Active Cert
- Strong working knowledge of professional billing claims workflows and revenue cycle operations
- 2+ years of experience in a healthcare billing, claims, or revenue cycle analyst role
- Proven experience in post-live support or system stabilization, with a focus on claims processing
- Demonstrated ability to resolve high-volume ticket backlogs with accuracy and efficiency
- Strong analytical, troubleshooting, and problem-solving skills
ATS Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
professional billingclaims workflowscharge captureclaim editsscrubbingsubmissiondenialsremittanceticket backlog resolutionsystem stabilization
Soft skills
analytical skillstroubleshootingproblem-solvingcommunicationcollaboration
Certifications
PB claims Active Cert
