We are seeking an experienced Physician Biller with strong Epic (Professional Billing) experience to support full-cycle revenue cycle operations for provider-based services. This role is responsible for accurate claim submission, timely follow-up, and optimizing reimbursement for professional claims. The ideal candidate has hands-on experience with Epic work queues, payer requirements, and physician billing workflows.

Key Responsibilities

• Prepare, review, and submit professional (CMS-1500) claims for physician and provider services
• Utilize Epic Professional Billing (PB) module to manage claim edits, work queues, and charge review
• Ensure accurate coding, billing data, and charge capture prior to claim submission
• Perform full-cycle billing, including claim corrections, resubmissions, and charge entry review
• Monitor and resolve Epic work queues, including claim edits, rejections, and denials
• Conduct timely follow-up on unpaid or denied claims with insurance payers
• Investigate and resolve claim denials, underpayments, and rejections; submit appeals as needed
• Collaborate with coding, front-end, and clinical teams to resolve documentation and billing discrepancies
• Ensure compliance with federal, state, and payer-specific billing regulations
• Maintain productivity and quality benchmarks for billing accuracy and turnaround time
• Document all account activity and updates within Epic

Qualifications

Required

• 2+ years of physician/professional billing experience
• Hands-on experience with Epic Professional Billing (PB)
• Strong knowledge of CMS-1500 claim forms and professional billing workflows
• Understanding of revenue cycle management (RCM) processes
• Experience working with commercial, Medicare, and Medicaid payers
• Proven experience handling claim denials, rejections, and appeals
• High attention to detail and accuracy

Preferred

• Familiarity with ICD-10, CPT, and HCPCS coding (professional side)
• Experience working in high-volume physician billing environments
• Knowledge of Epic work queues, charge review, and claim edit tools
• Relevant certification (e.g., CPC, CPB)