Firstsource
Sr. Revenue Cycle Billing Specialist
Remote, Remo · Remote · Senior · Full-time · Posted Oct 6, 2026
- Experience
- 2+ years of experience in healthcare revenue cycle, denial management, or claims resolution.
- Education
- High school diploma or equivalent required; Associate’s or Bachelor’s degree in Health Information Management, Business, or related field preferred.
About the job
Resolves denied professional and hospital billing claims by identifying causes, submitting appeals or corrections, and helping prevent recurring denials.
What you'll do
- Review denied claims, interpret remittance and denial codes, and determine appropriate corrections, rebilling, or escalation.
- Prepare and submit payer-compliant appeals with supporting documentation; track deadlines and document outcomes in Epic.
- Identify denial trends and collaborate with coding, clinical, and billing teams on corrective actions and prevention.
What they ask for
- High school diploma or equivalent.
- Knowledge of PB and HB denial workflows, appeals, and payer-specific requirements.
- Ability to interpret CARC/RARC codes and 835 ERA/EOB remittance data.
- Proficiency with Epic denial work queues and PB/HB claim correction, rebilling, or void-and-replace processes.
Nice to have
- Associate’s or Bachelor’s degree in Health Information Management, Business, or related field; CPC, CPMA, CRCR, or CHFP certification is a plus.
- Experience with Epic denial work queues and familiarity with Medicare, Medicaid, and commercial payers.
Tools
Epic, Availity, Arkansas DHS, Medicare.gov, CARC/RARC, 835 ERA / EOB, CMS-1500 / 837P, UB-04 / 837I
Model-written summary · the original posting is authoritative