{"id":2069990,"url":"https://alion.io/job/firstsource-revenue-cycle-billing-specialist","title":"Revenue Cycle Billing Specialist","company":{"id":1795846,"name":"Firstsource","domain":"firstsource.com","url":"https://alion.io/company/firstsource","size_band":"201-500","is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"SuccessFactors","truth_index":null},"role":"Finance","role_family":"Finance","seniority":"junior","employment_type":null,"work_mode":"remote","remote_scope":"stated_countries","remote_scope_basis":"board_field","remote_working_hours":null,"hiring_geo_confidence":"structured","locations":["United States"],"countries":["US"],"hiring_countries":["US"],"hiring_countries_total":1,"salary":null,"salary_estimate":{"min_usd":30000,"max_usd":60000,"period":"year","method":"role_seniority_country_remote_cell","sample_n":232},"experience_years_min":2,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[{"name":"HIPAA","optional":false}],"status":"live","first_seen_at":"2026-10-06T02:00:00Z","employer_posted_date":"2026-10-06","last_verified_at":"2026-10-18T19:06:13Z","board_verified":true,"closed_at":null,"days_open":12,"trust":{"level":"ok","repost_count":null,"flags":[],"days_open":12},"description":"Role Description\nThe Revenue Cycle Follow-Up Representative is responsible for ensuring timely and accurate follow-up on both Professional Billing (PB/CMS-1500) and/or Hospital Billing (HB/UB-04) claims. This role manages accounts receivable, resolves unpaid and underpaid claims, and drives reimbursement from government and commercial payers. The ideal candidate has strong knowledge of 837P/837I transaction sets, EOB/ERA reconciliation, and payer-specific follow-up requirements.\nRoles & Responsibilities\nClaim Follow-Up - PB & HB\nMonitor and follow up on outstanding PB (CMS-1500 / 837P) and HB (UB-04 / 837I) claims via phone calls, payer websites, and Epic work queues to ensure timely reimbursement.\nInvestigate and resolve unpaid, underpaid, and rejected claims by working with insurance providers and internal departments.\nAnalyze account history and all previous actions in Epic prior to taking the next action step to resolve the claim.\nIdentify payer trends and payment discrepancies across both PB and HB claim types and escalate findings to leadership.\nUnderstand when claim corrections, rebilling (837P or 837I), and resubmissions are applicable.\nEscalate claims with payers for resolution on inaccurate or delayed claim processing.\nAppeals & Reconsiderations\nSubmit reconsiderations and/or appeals for both PB and HB claims with appropriate attachments, documentation, and clinical justification.\nAdhere to payer-specific appeal deadlines and formatting requirements for Medicare, Medicaid, and commercial payers.\nPayer & System Knowledge\nNavigate Epic to manage HB and PB work queues, document follow-up activity, and review 835 remittance/ERA data.\nUtilize payer portals (Availity, NaviMedix, Arkansas DHS portal, and others) to verify claim status and obtain EOBs.\nUtilize resources provided by the client to promote accuracy and resolve claims in accordance with client expectations.\nCompliance & Documentation\nEnsure accurate and detailed documentation of all follow-up activities in Epic.\nCommunicate with insurance companies, patients, and internal teams to resolve claims and promote cash collections.\nEnsure compliance with federal, state, and payer regulations, as well as hospital and physician practice policies.\nAlways maintain confidentiality of patient and account information (HIPAA).\nAdhere to prescribed policies and procedures outlined in the Employee Handbook and Code of Conduct.\nMaintain awareness of and actively participate in the Corporate Compliance Program.\nMaintain a confidential and orderly remote work area.\nMeet specified goals and objectives assigned by management and/or the Client.\nAssist with other projects as assigned by management.\nExpected / Key Results\nDeliver high levels of client and patient satisfaction (CSAT)\nAchieve quality scores per defined process standards\nDeliver defined process-specific metrics (e.g., AR days, cash collected, productivity units)\nAdherence to regulatory compliance requirements\nSchedule adherence\nPreferred Educational Qualifications\nHigh school diploma or equivalent required\nAssociate’s or Bachelor’s degree in Health Information Management, Business, or related field preferred\nPreferred Work Experience\n2+ years of experience in healthcare revenue cycle, claims processing, or AR follow-up\nDemonstrated experience working PB (CMS-1500 / 837P) and/or HB (UB-04 / 837I) claim follow-up\nPrior experience with Epic billing and/or follow-up work queues strongly preferred\nFamiliarity with Medicaid, Medicare, and commercial payers preferred\nExperience reading and interpreting 835 ERA / EOB remittance data\nCompetencies & Skills\nStrong knowledge of PB and HB billing workflows, claim lifecycle, and payer follow-up processes\nProficiency with Epic (HB and/or PB modules, work queues, claim correction, and rebilling)\nFamiliarity with CARC/RARC denial and adjustment reason codes\nAbility to interpret EOB, ERA (835), and remittance advice for both PB and HB claims\nKnowledge of payer portals including Availity, Arkansas DHS, and commercial payer sites\nCompetent in working and communicating effectively with payers, patients, colleagues, and management - both in-person and via remote virtual platforms\nConsistently maintains a courteous and professional demeanor\nSelf-motivated with the ability to stay focused and productive with minimal supervision\nProactive initiative and creative problem-solving in carrying out job responsibilities\nAbility to prioritize multiple tasks through effective time management and organizational skills\nProficiency in PC operations; ability to type at a rate of 30-40 words per minute\nBenefits including but not limited to: Medical, Vision, Dental, 401K, Paid Time Off.\nWe are an Equal Opportunity Employer. All qualified applicants are considered for employment without regard to race, color, age, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other characteristic protected by federal, state or local law.\nNot Accepting Referrals","description_format":"text","description_chars":5019,"description_truncated":false,"requirements":{"experience_years_min":2,"management_years_min":null,"team_size_min":null,"manages_managers":false,"education":{"level":"high_school","optional":true},"security_clearance":false,"languages":[]},"benefits":["401k plan"],"hiring_locations":[{"name":"United States","iso":"US","kind":"country"}],"hiring_excludes":[],"relocation_offered":false,"industries":["Artificial Intelligence","Health Care","Professional Services"],"lifecycle":[{"event":"open","at":"2026-10-08T06:07:41Z"}],"visa":[],"liveness":{"score":43,"band":"fade","label":"Fading","p_open":1,"p_active":0.79,"p_room":0.55,"age_days":11,"expected_fill_days":10,"reasons":["conf:27","velocity","win:tail","comp:junior"],"computed_at":"2026-10-17T05:46:00Z"},"pay":null,"html_url":"https://alion.io/job/firstsource-revenue-cycle-billing-specialist","json_url":"https://alion.io/job/firstsource-revenue-cycle-billing-specialist.json","meta":{"generated_at":"2026-10-18T20:54:16Z","cache_seconds":300,"methodology":"https://alion.io/methodology","terms":"https://alion.io/terms","contact":"https://alion.io/contact","api":"https://alion.io/developers","about":"Alion is a live layer of people, companies and AI agents: who they are, whether they are real and active right now, what they do and how to work with them, readable by people and by agents and paid per call.","catalog":"https://alion.io/catalog.json","usage":{"tier":"crawler_verified","counted_by":"address","units_charged":1,"used_today":24648,"day_limit":null,"remaining_today":null,"minute_limit":300,"resets_at":"2026-10-19T00:00:00Z"}},"offers":[{"id":"company.slices","title":"One company in depth, by slice","status":"live","price":{"credits":0.02,"usd":0.002,"plus_per_slice":{"credits":0.05,"usd":0.005}},"unit":"per company, plus each slice with data","note":"the employer in depth","call":{"mcp_tool":"get_company","arguments":{"id":1795846},"rest":"https://alion.io/mcp/rest/get_company?id=1795846"},"human":"https://alion.io/catalog?offer=company.slices&for=job%2Ffirstsource-revenue-cycle-billing-specialist"},{"id":"market.stats","title":"A market slice: pay, demand and time to fill","status":"live","price":{"credits":1,"usd":0.1},"unit":"per slice","note":"pay, demand and time to fill for this role and place","call":{"mcp_tool":"market_stats"},"human":"https://alion.io/catalog?offer=market.stats&for=job%2Ffirstsource-revenue-cycle-billing-specialist"},{"id":"job.search","title":"Open jobs by role, technology, place, pay and visa","status":"live","price":{"credits":0.02,"usd":0.002},"unit":"per posting in a list","note":"similar open postings","call":{"mcp_tool":"search_jobs"},"human":"https://alion.io/catalog?offer=job.search&for=job%2Ffirstsource-revenue-cycle-billing-specialist"},{"id":"company.verify","title":"Is this company real and active right now","status":"pilot","price":null,"unit":"per company","request":{"url":"https://alion.io/catalog/request","method":"POST","body":"{\"offer\": \"company.verify\", \"for\": \"job/firstsource-revenue-cycle-billing-specialist\", \"note\": \"what you need it for\"}"},"human":"https://alion.io/catalog?offer=company.verify&for=job%2Ffirstsource-revenue-cycle-billing-specialist"}]}