Accounts Receivable Specialist – Hospital Billing, Epic Experience

Carle Health

. Manage accounts receivable according to compliance, regulatory, billing, and payer requirements .

Posted 11/5/2026full-timeRemote • Illinois • United StatesMid-LevelSenior💰 $17 - $28 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in managing accounts receivable within a hospital setting, ensuring compliance with billing and payer requirements while effectively resolving claims and appeals. Proficient in utilizing Epic and other clinical applications to analyze accounts and facilitate accurate billing processes.

Highest-signal resume keywords

Hospital Billing ExperienceEpic ExperienceClaims SubmissionProblem-Solving SkillsHIPAA Compliance

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Accounts Receivable ManagementInsurance Claims ValidationCharge-Review Edits ResolutionPayer Rejections ResolutionElectronic Claims SubmissionAppeals PreparationCredit/Balance EvaluationRefund ProcessingMedical Documentation RetrievalAccount Adjustment Requests

Soft Skills

InitiativeCritical ThinkingDiscretionCollaborationCommunication

Tools & Technologies

EpicPayer PortalsBilling SystemsClinical Applications

Industry Keywords

ComplianceRegulatory RequirementsBilling GuidelinesPayer RequirementsHealth Insurance Carriers

About the role

Key responsibilities & impact

Manage accounts receivable according to compliance, regulatory, billing, and payer requirements
Collect outstanding receivables through payer portals and phone lines
Validate coverage and accurately submit insurance claims
Resolve charge-review edits, claim edits, clearinghouse rejections, and payer rejections
Follow up on outstanding receivables and complete basic appeals
Answer, document, and complete inquiries from insurance companies, internal departments, patients, public agencies, and third-party payers
Collaborate with Billing, Coding, Cash Posting, and other departments to ensure claims are processed and paid correctly
Research and resolve unpaid, rejected, denied, and allowance-discrepancy claims
Document collection activities in the billing system
Retrieve supporting medical documentation, eligibility information, billing guidelines, referrals, and authorizations
Review undistributed payments and apply them to open balances
Review and resolve incoming correspondence
Identify and request account adjustments
Resolve insurance setup errors
Evaluate credit/balance accounts and process refunds or payer recoupments
Prepare payer corrections, appeals, adjusted and corrected bills, accounts-receivable adjustments, and refunds
Answer departmental calls through a rotation line and direct callers appropriately
Perform other duties as assigned

Requirements

What you’ll need

Must have hospital billing experience
Must have Epic experience
Ability to take initiative, accept direction, and seek guidance appropriately
Ability to manage confidential information sensitively and discreetly in a HIPAA-compliant manner
Strong problem-solving and critical-thinking skills
Experience submitting electronic and paper claims to health insurance carriers
Experience submitting non-complex reconsiderations and/or appeals via paper, fax, or web portal
Ability to monitor, research, and resolve unpaid, rejected, denied, and allowance-discrepancy claims
Ability to analyze accounts and determine appropriate account-resolution actions
Ability to use clinical applications, payer websites, and other systems to research medical documentation, eligibility information, billing guidelines, referrals, and authorizations
Ability to resolve insurance setup errors, charge-review edits, claim edits, clearinghouse rejections, and payer rejections
Ability to evaluate credit/balance accounts, send refunds, and initiate payer recoupments
Ability to prepare appeals, corrected bills, accounts-receivable adjustments, and refunds
Qualifications fields list no specific certification, education, or work-experience requirement

Benefits

Comp & perks

Comprehensive benefits package
Equal Opportunity Employer
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