Revenue Cycle Specialist Epic & Claims Expert
VALID8 Financial
UCSF Health Medical Foundation is hiring for a Revenue Cycle Specialist to manage claims, denials, and pre-collections across UCSF Benioff Children’s Physicians practices in Northern California. The role emphasizes accuracy, collaboration, and timely communication with clinics. The candidate will navigate EPIC and other EHR systems, analyze issues, and support quality metrics while maintaining high service levels and professional accountability within a multidisciplinary team. #J-18808-Ljbffr VALID8 Financial
$28 - $31 per hour
...Francisco Bay Area. POSITION SUMMARY: Responsible for varying facets of the revenue cycle processes. These processes can include charge entry, EPIC work queue oversight and correction, claims denials due to non-coding issues, payment posting, refunds and other revenue...EpicClaimsWork at officeLocal area- ...-office workflows for medical practices, hospitals, and health plans. The role covers patient access, prior authorizations, claims, revenue cycle, provider enrollment, payer operations, and health information management, emphasizing hands-on experience with healthcare systems...Claims
- ...work of their careers. We are looking for an experienced Revenue Cycle Specialist to help us set‑up our RCM configuration in Lunar as we look... ...deliver guidance to hospitals, translating complex billing and claims processes into clear and practical resources. Claim Edits:...ClaimsRemote workFlexible hours3 days per week
$75 per hour
...Ensure timely resolution of outstanding claims. Evaluate AI-generated A/R follow-up... ...bucket, payer, and dollar value to maximize revenue recovery. Identify and resolve claim... ...follow-up , payer collections, or revenue cycle operations, with at least 2 years in a...ClaimsRemote jobContract workSummer work- The University of California - San Francisco is seeking an APeX Application Analyst responsible for Epic's Professional and Hospital Billing Claims applications. You will develop, support, and maintain complex application components while analyzing workflows and understanding...EpicClaims
- University of California, San Francisco is seeking an Accounts Receivable Analyst - Non-Government to support the Revenue Cycle with quantitative analysis, reporting, and actionable insights. The role interfaces with leadership to research trends in Non-Government payor...3 days per week
- UCSF Health is seeking an EDI Claims Assistant to manage electronic claim production for hospital and professional billing across UCSF... ...ensuring accurate claim generation, monitoring file transfers, using EPIC/APeX and various EDI portals, and maintaining HIPAA compliance...EpicClaims
$96.9k - $169.5k
...Revenue Operations Specialist, Commercial Operations Job ID: 10413035 | Amazon.com Services LLC We’re seeking a highly motivated and experienced... ...Weekly/Monthly Business Reviews, quarterly and annual planning cycles, and regular cadence reporting for sales leadership. The...Local area- ...Zingaro, Fidler, Wolfe & Co. is seeking a Senior Vice President of Revenue Cycle to lead oversight of revenue cycle operations across multiple... ...and operational success within a complex healthcare environment, and Epic experience is strongly preferred. #J-18808-LjbffrEpic
- ...is in the early stages of exploring a Senior Vice President of Revenue Cycle opportunity. This executive would provide enterprise oversight... ...oversight of both hospital and professional revenue cycle operations. Epic experience strongly preferred. #J-18808-LjbffrEpic
$150k - $185k
About the RoleThe Revenue Cycle Management (RCM) Lead is a senior leader responsible for overseeing... ...by getting into the details on specific claim-level and claim cohort level issues... ...for complex customer issues, providing expert consultation and decisive resolutions to...ClaimsWork at officeRemote work- Bay Area Retina Associates is seeking an AR Specialist to drive objection-free reimbursement across the revenue cycle. You will follow up on patient accounts, resolve payer issues, and coordinate with the RCM team to improve processes and compliance. The role requires 2...
- Medsien, Inc. in San Francisco seeks a Revenue Cycle Manager to lead the billing team and report to the COO. You will own end-to-end revenue cycle activities, including claims, denials, appeals, and payment reconciliation. You will ensure accurate Medicare and commercial...ClaimsRemote job
- Job Title: Epic Certified Resolute HB Analyst Job Summary: The Epic Resolute Hospital... ...HB module. This role collaborates with revenue cycle, finance, and clinical teams to ensure efficient... ...improvements Support charge capture, claims processing, and reimbursement...EpicClaims
- Medsien, based in San Francisco, seeks a Revenue Cycle Manager to lead the billing team and report directly to the COO. This role oversees claims, denials, and reconciliations for Medicare and commercial payers, ensuring accurate, compliant billing and strong financial...ClaimsRemote job
- ...and create a real impact. We seek a dynamic , results-oriented Revenue Cycle Manager to lead the billing team and report directly to the... ...Manager , you will: Own the end-to-end revenue cycle, including claims, denials, appeals, and payment reconciliation, Ensure accurate...ClaimsWork at officeRemote work
- POSITION: Director, Revenue Cycle Management (RCM)DEPARTMENT: Health Information... ...Essential)· Partner with IT, Epic application teams, and... ...requirements.· Serve as an expert resource for Internal Audit,... ...RC HC ANL 4), 9 Service Line Specialists (RC HC ANL 3)· Total department...EpicWork at office
- ...business-related field, CPA 2, and at least 2 years of experience. Key responsibilities include reconciling remittances, preparing claims documentation, investigating variances, and maintaining relationships with debtors. Attention to detail and excellent interpersonal...Claims
- ...EPIC Applications AnalystLocation: Oakland, CA (HYBIRD if local... ...expertise in Epic Resolute, and Claims and Remittance modules to... ...configurations.This position is an expert role in Epic Practice... ...have a solid understanding of revenue cycle management or experience with...EpicClaimsH1bLocal areaRemote workRelocation
- ...reporting, and collection of patient service revenue. The incumbent will be directly... ...quality assurance processes. Experience using Epic. Experience and knowledge of bargaining... ...Professional Coder (CPC), Certified Coding Specialist (CCS), Registered Health Information...EpicWork at officeLocal area
- ...involves handling cost containment and recovery for the revenue cycle department by reviewing contract terms against claims and billing to identify payment discrepancies.... ..., Word, and Outlook is required. Experience with Epic Resolute (PB/HB) is necessary. Knowledge of UB-04...EpicClaimsContract work
$80 per hour
...Role Responsibilities Oversee end-to-end medical billing and claims submission operations across professional fee and/or facility billing... ...billing requirements. ~ Proficiency with billing platforms ( Epic , Athenahealth , AdvancedMD , or equivalent) and...EpicClaimsContract workSummer workRemote work$45 - $53 per hour
...professional with a sharp eye for detail and Epic system expertise? Join a dynamic,... ...powers accurate patient estimates, clean claims, and optimal financial outcomes. Enjoy a... ...update of plans within Epic Skills revenue cycle payer contracting Qualifications...EpicClaimsHourly payPermanent employmentContract workTemporary workWork experience placementLocal areaRemote workShift work3 days per week- ...closure. They utilize multiple databases and applications (Epic System, Cirius Billing System, Revenue Cycle Pro, and multiple payor websites) and frequently... ...hospital billing and collections, including packaged claims, stop losses, per diems, carve‑outs, contract terms,...EpicClaimsContract workWork experience placementRemote work
$120k - $125k
...participation in the community, fulfilling our mission. The CalAIM Revenue Cycle Manager is responsible for leading the organization's CalAIM... ...sources. This position oversees the entire lifecycle of a claim, from initial encounter data capture to final payment. It...ClaimsFull timeWork from home$130k - $160k
...population. As Manager of Credentialing & Revenue Cycle, you will own provider credentialing and... ...for the Wellness Plus program, from claim submission through payment reconciliation... ...workflows Serve as the internal subject matter expert on payer policies, E&M billing...ClaimsFull timeLocal area$7,000 per month
...clinicians be clinicians again. That’s where you come in. The role Revenue cycle is where the economics of healthcare get decided. A clinician... ...millions. At one hospital we visited, eight million pounds in claims had sat uncoded since September. The coder workforce is ageing...ClaimsContract workHome officeShift work$93 per hour
...identification, categorization, and resolution of claim denials. Evaluate AI-generated... ...denial rates, appeal overturn rates, revenue recovery, and days in A/R . Ensure compliance... ...denials management, appeals, or revenue cycle operations, with at least 2 years in a...ClaimsContract workSummer workRemote work$117k - $135k
...intersection of data, process, and people — translating complex revenue cycle performance data into actionable insights for leadership,... ...the KPI dashboard covering AR aging, DSO, denial rates, clean claim rates, billing trigger capture rate, cash collection rates, and...ClaimsCurrently hiringWork at officeRemote work- ...diagnostics, is seeking an Insurance Reimbursement Specialist to maximize collections by pursuing unpaid claims and managing multi-level appeals. This full-time... ...work with payer portals, coordinate with the Revenue Cycle team, and support denial management while maintaining...ClaimsRemote jobFull time
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