Ambulatory Biller (Epic) at Cpsi

Job description

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

Requirements

Must-haves

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
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
Prior experience in high-volume billing environments

Nice-to-haves

Preferred Experience with EHR/billing systems such as Epic Professional Billing

Application prep

Use the role’s language and application details while tailoring your materials.

Platform: workday
Effort: long