Contribute to design, configuration, testing, and support of Hospital and Professional Billing solutions.
Independently partner with clinical, operational, and technical teams to improve workflows and user experiences.
Manage testing, quality, and documentation while supporting implementations and go-live activities.
Our partner is a healthcare technology company looking for an Epic HB/PB Analyst. They offer a full-time remote role supporting critical revenue cycle applications in a complex healthcare environment.
Lead and oversee the configuration and setup of new client billing accounts, ensuring full operational readiness and accuracy.
Oversee and manage Data and Charge Entry contractors and FTEs supporting team direction and deliverables.
Serve as a subject matter expert for front-end RCM processes and system integrations.
Virta Health is on a mission to reverse metabolic disease in one billion people. They have raised over $350 million from top-tier investors and partner with the largest health plans, employers, and government organizations.
Provide advanced expertise and leadership for hospital billing and accounts receivable operations.
Ensure compliance with payer rules and regulatory requirements through quality assurance and audits.
Analyze payer trends and collaborate on process improvements to optimize revenue recovery.
Emory Healthcare is a healthcare system providing comprehensive medical services. They foster a supportive culture with benefits, mentorship, and leadership programs for employees.
Perform complete, accurate, and timely processing of reimbursement/payment audits in compliance with policies, payer contracts, and government fee schedules.
Collaborate with operations consultants, RCM AR staff, and management to address Care Center payment performance audits and maximize cash flow.
Identify, monitor, and manage denial management trends, and work closely with Revenue Cycle Teams and payer representatives.
Privia Health is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices and improve patient experiences. The company is led by top industry talent and exceptional physician leadership, focusing on reducing healthcare costs and improving outcomes.
Serve as a liaison between operational stakeholders and IT to ensure business needs are effectively represented.
Support the ongoing operations, optimization, and enhancement of assigned Epic applications through workflow analysis and system design.
Collaborate with cross-functional teams to troubleshoot issues, test solutions, and implement system improvements.
The Wilshire Group is a boutique consulting firm in Los Angeles specializing in revenue cycle optimization and IT collaboration. With a team of experienced professionals, they have aided over 100 healthcare systems nationwide, emphasizing professionalism, efficiency, and adaptability.
Manage billing, collections, and accounts receivable for healthcare clients, ensuring timely claim submission and payment resolution.
Analyze aging reports, denials, and reimbursement trends to identify root causes and implement process improvements.
Serve as primary client contact, providing ongoing communication, status updates, and revenue cycle support.
Wipfli is a professional services firm providing accounting, tax, and consulting services. They emphasize flexibility, relationships, and employee well-being, with a focus on creating exceptional impact.
Conduct independent clinical research and interpret specialty society guidelines to originate automated payment integrity logic.
Author end-to-end logic from scratch, translating clinical documentation and coding frameworks into precise parameters.
Lead cross-functional policy development and own concept rollouts from discovery through post-launch tracking.
Devoted Health is a healthcare company on a mission to improve the health and well-being of older Americans by providing a seamless care platform. Founded in 2017, it fosters a culture of innovation and collaboration, with a focus on data and AI to deliver exceptional member experiences.
Lead complex hospital and professional billing compliance audits and investigations to identify risks and ensure regulatory alignment.
Analyze billing, coding, and operational data to uncover systemic issues and provide actionable recommendations to leadership.
Serve as a billing compliance subject matter expert, advising cross-functional teams and developing training and policies.
The company is a healthcare organization focused on billing compliance and risk management, providing auditing and advisory services. It offers a remote-first collaborative environment with opportunities to influence policies and work with senior leaders.
Manage complete and timely processing of claims, including reviewing daily correspondence and resolving issues through SalesForce.
Oversee accounts receivable functions such as worklists, zero pay, and denials to ensure timely resolution.
Serve as an escalation point and subject matter expert on internal sub-teams, driving toward daily and monthly KPIs.
Privia Health is a technology-driven physician enablement company that collaborates with medical groups and health systems to optimize practices and reduce costs. They are a national organization with top industry talent and a focus on high-value care.
Own the end-to-end revenue cycle, including claims, denials, appeals, and payment reconciliation.
Ensure accurate billing and compliance for Medicare and commercial payers.
Monitor KPIs, identify revenue opportunities, and reduce denials.
Medsien is a leading provider of scalable remote care management, enabling healthcare practices to enhance patient engagement and improve outcomes. They are a venture-backed company based in San Francisco, committed to innovation and collaboration.
Lead a specialized RCM SWAT team focused on rapid assessment and stabilization of underperforming functions across billing, collections, and financial counseling.
Manage relationships with third-party vendors, conduct performance reviews, and drive continuous improvement to maximize vendor efficiency and financial returns.
Collaborate with internal teams and vendors to optimize billing and collections workflows, ensuring compliance, reducing denials, and improving cash performance.
The Oncology Institute is advancing oncology by delivering highly specialized, value-based cancer care in the community setting. With over 180 employed and affiliate clinicians and over 100 clinics across five states, TOI is changing oncology for the better.
Manage design, build, testing, validation, maintenance, and ongoing support of Epic Resolute Hospital Billing and Electronic Remittance modules.
Collaborate with interdisciplinary workgroups to accomplish goals, focusing on Epic upgrades, enhancements, ticket queue responses, and break/fix duties.
Build relationships with colleagues, departments, and vendors, providing technical consulting and ensuring compliance with regulatory guidelines.
Emory Healthcare is a leading healthcare system in Atlanta, providing comprehensive medical services. They foster a supportive culture with extensive benefits, mentorship, and professional development opportunities.
Lead and mentor Revenue Cycle Informatics staff, overseeing daily support and project coordination for EHR-related initiatives.
Collaborate with departments to implement process improvements, training, and system enhancements for revenue cycle and electronic health record.
Provide end-user support and education, manage service tickets, and ensure efficient use of EHR applications.
UnityPoint Health is a healthcare system providing services across Iowa, Illinois, and Wisconsin. They are recognized as a Top 150 Place to Work in Healthcare, with a culture focused on belonging and employee support.
Own the end-to-end collections process, maintaining high-accuracy forecasts and eliminating revenue leakage.
Build a high-discipline collections engine, standardizing recovery cadences to achieve best-in-class net collection rates.
Serve as the ultimate closer for complex billing disputes, negotiating with health plans and driving team KPIs.
Foodsmart is the leading Foodcare platform in the U.S., combining personalized nutrition care with food benefits to improve health outcomes. With over 3 million members and backed by a $200 million investment from TPG's Rise Fund, the company fosters a culture of customer focus, urgency, and collaboration.
Own end-to-end claims and revenue-cycle operations, including claim submission, denials, appeals, and collections across Medicaid and commercial payers.
Build and optimize payer-specific billing workflows, including claim configuration, coding, and credentialing.
Drive cross-functional execution with Operations, Partner Success, and Finance to improve processes and achieve over $1M in monthly claims.
Jukebox Health partners with health plans to make homes safer and more accessible for older adults and high-needs populations, combining technology with networks of clinicians, suppliers, and installers. Founded by experienced entrepreneurs, Jukebox Health is a fast-growing healthcare services company backed by top venture capital firms like Valtruis and The Home Depot, with a high-trust, collaborative, remote-first culture.
Oversee day-to-day clinical revenue management and charge capture projects.
Apply technical expertise and interpersonal skills to support client operations.
Collaborate with client leadership to drive process improvements and efficiency.
Kodiak Solutions provides healthcare finance and revenue cycle management solutions. They foster a collaborative and innovative environment with a focus on continuous improvement and professional growth.
Review, analyze, and complete pre- and post-payment claim audits and appeals in accordance with client policies, CMS guidelines, and healthcare industry standards.
Apply clinical judgment to evaluate documentation and determine the appropriateness and accuracy of claims.
Analyze healthcare claims, reimbursement information, and supporting documentation to identify discrepancies and potential payment issues.
Our partner company focuses on ensuring healthcare claims are reviewed accurately, consistently, and in accordance with applicable policies and industry standards. It is a collaborative, fast-paced, and evolving environment with opportunities for professional development and career advancement.
Provides leadership and oversight of oncology clinical research billing compliance, ensuring accurate billing practices.
Optimizes standardized billing compliance framework and directs work of CTMS Specialists and Billing Specialists.
Manages operational workflows including CTMS calendar development and Epic research billing protocol configuration.
The Knight Cancer Clinical Research organization supports translational clinical research to improve lives of people with cancer. OHSU is Oregon's only public academic health center and Portland's largest employer, focusing on patient care, research, and training.
Manage DRG-related payer denials to protect reimbursement and minimize revenue loss.
Leverage clinical and coding expertise to produce compliant appeal outcomes.
Identify documentation and coding risks pre-claim to strengthen revenue integrity.
Rochester Regional Health is an integrated health services organization serving Western New York and beyond, with nine hospitals and numerous care facilities. It is a large health system focused on leading the evolution of healthcare.
Manage charge entry, claim submission, and payment posting for assigned clients
Work first-pass denials and resubmit or appeal claims as appropriate
Monitor and report on denial rates and billing performance for your assigned accounts
Raventra Health is a medical services company providing outsourced billing, coding, and claims processing solutions for provider groups and hospitals. The company is an equal opportunity employer committed to diversity and inclusion.