The Claims Processor position at CPSI/TruBridge focuses on managing hospital and Rural Health Clinic claims, particularly addressing denial management and ensuring timely billing. This remote role requires expertise in revenue cycle management (RCM) and familiarity with Epic systems, alongside strong analytical skills
Job Summary
The Claims Processor is responsible for accurate and timely billing of hospital and Rural Health Clinic (RHC) claims to insurance payers, focusing on denial management and reimbursement optimization.
Key responsibilities include preparing, reviewing, and submitting claims, analyzing and resolving billing denials, and conducting timely follow-up with payers on unpaid claims.
This role requires knowledge of full-cycle RCM billing processes for acute-hospital and/or rural health clinics, with strong experience working with PB Epic.
Matching Summary
Match Score: 85
The Claims Processor position at CPSI/TruBridge focuses on managing hospital and Rural Health Clinic claims, particularly addressing denial management and ensuring timely billing. This remote role requires expertise in revenue cycle management (RCM) and familiarity with Epic systems, alongside strong analytical skills.
Skills & Requirements
Must-have
Denial management and claim follow-up
Hospital and RHC claims billing
Payer contract compliance
Epic HB & PB experience
Nice-to-have
Process improvement recommendations
Collaboration with internal staff
Key Requirements
Full-cycle RCM billing for acute-hospital/RHC REQUIRED
HB & PB Epic experience REQUIRED
Strong insurance billing and denial resolution experience
Proficiency in CPT, ICD-10-CM, HCPCS, and modifiers
Familiarity with payer portals and claim management systems