Job Title: Patient Account Representative – Physician Billing (Epic PB)

Location: Remote (Must reside in AL, FL, GA, IA, IL, IN, KS, KY, LA, MI, MO, NC, OK, SC, TN, TX, UT, VA, WI, or WV)

Schedule: Monday – Friday, 8:00 AM – 5:00 PM CST (30-minute lunch)

Pay Rate: $19.00 - $21.00 / hour

Position Overview

We are seeking an experienced Patient Account Representative – Physician Billing (PB) to join a premier health system team. In this fully remote role, you will be responsible for working a backlog of unworked A/R, following up on unpaid professional and physician claims from both commercial and government payers, and resolving complex denial issues to ensure timely reimbursement.

All equipment (laptop, two monitors, docking station, mouse, keyboard, and headset) is provided directly by the client system.

Key Responsibilities

• Follow up on outstanding commercial and government professional claims via Epic PB.

• Research and resolve denial codes (e.g., modifier bundling, credentialing, procedure/diagnosis mismatch).

• Review Explanation of Benefits (EOBs) and Electronic Remittance Advices (ERAs).

• Correct professional claim errors, billing edits, and submit corrected claims or appeals.

• Resolve missing documentation, medical records, or physician note requests.

• Investigate authorization, referral, and rendering provider NPI issues.

• Handle coordination of benefits (COB) issues, credit balances, overpayments, partial payments, and underpayments.

• Maintain complete account documentation in Epic PB while meeting productivity standards of at least 50 accounts per day.

Required Qualifications

• Epic PB Experience: Minimum 2 years of direct hands-on experience using Epic PB (Physician Billing) within a healthcare system. (Candidates whose background is exclusively with third-party RCM agencies will not be considered).

• A/R & Claims Billing Expertise: 2+ years of professional/physician A/R experience, including CPT/HCPCS coding edits, modifiers, and CMS-1500 claims.

• Payer Knowledge: Proven follow-up experience with government payers (Medicare, Medicaid, TRICARE, VA) and commercial payers (such as UnitedHealthCare, Managed Care, or Anthem).

• Performance Standards: Track record of consistently meeting or exceeding 50 worked accounts per day with high quality metrics, with the capacity to reach full quota within an 8-week ramp-up period.

• Education: High School Diploma or GED required (or 10+ years of relevant experience).

• Location: Must currently reside in one of the approved states listed above.

What We Offer

• Full Equipment Setup: Client-provided hardware package delivered directly to your home.

• Structured Onboarding: Dedicated Epic workflow orientation paired with structured team-lead training to ensure your success.

• Consistent Hours: Steady day shift schedule with full 40-hour workweeks.

^*We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).

^*As a job position within our Revenue Cycle division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing financial and confidential information, handling financial and other payment data, and working within departments that care for vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.