We are seeking an experienced Ambulatory Biller (Epic) to support full-cycle hospital billing and revenue cycle operations. This role is responsible for ensuring accurate claim submission, timely follow-up, and maximum reimbursement for facility-based services. The ideal candidate has deep experience with CMS-1500 claim forms, payer guidelines, and hospital billing workflows.

Key Responsibilities

• Prepare, review, and submit CMS 1500 claims for clinic services
• Ensure accurate coding, billing data, and charge capture prior to claim submission
• Perform full-cycle billing, including claim edits, corrections, and resubmissions
• Conduct timely follow-up on unpaid or denied claims with insurance payers
• Investigate and resolve claim denials, underpayments, and rejections
• Work closely with coding, clinical, and revenue cycle teams to resolve discrepancies
• Ensure compliance with federal, state, and payer-specific billing regulations
• Maintain productivity and quality standards for billing accuracy and turnaround time
• Document account activity and updates in billing systems

Qualifications

Required

• 2+ years of hospital/facility billing experience
• Strong experience working with CMS-1500 claim forms
• Experience working in Epic Resolute - Specifically Professional Billing
• Knowledge of revenue cycle management (RCM) processes
• Experience with commercial, Medicare, and Medicaid payers
• Familiarity with claim submission, denials, and appeals processes
• High attention to detail and accuracy

Preferred

• Experience with EHR/billing systems such as Epic Professional Billing
• Prior experience in high-volume billing environments