(Remote – U.S.)
🧾 About the Role
Shriners Children’s is looking for a Professional Billing Specialist to manage accounts receivable and professional billing operations in line with regulatory, payer, and productivity standards. This role plays a critical part in appeals, denials management, and payer communications across the revenue cycle.
✅ Position Highlights
• Full-time, remote (U.S. based)
• Medical coverage begins on Day 1
• 403(b) + Roth with 6% match after one year
• PTO, life, disability, FSA/HSA, tuition reimbursement
• Additional voluntary benefits (pet, home & auto, critical illness)
• Named 2025 Best Mid-Sized Employer by Forbes
• Inclusive, values-based culture focused on pediatric specialty care
📋 What You’ll Own
• Manage claim denials and appeals to ensure timely payer response
• Review denial categories, determine appropriate level of appeal
• Track claim edit and denial activities using healthcare tracking tools
• Submit medical record requests within 48 hours
• Monitor work queues for resolution and coordinate with payer reps
• Analyze trends in denials, prepare reports for team and committees
• Coordinate special projects related to billing and payer activity
• Maintain knowledge of state/federal claim regulations and payer rules
🎯 Must-Have Traits
• 5+ years in healthcare revenue cycle or A/R collections
• Epic PB Resolute experience required
• Working knowledge of 837P transactions, 835s, EOBs, CCI edits
• Familiarity with CPT, HCPCS, ICD-10, and revenue codes
• Intermediate Excel skills
• Strong understanding of payer contract terms, billing, and payment rules
• Bachelor’s degree or equivalent work/education combo
• Must earn Epic PB Resolute certification within 12 months if not already certified
💻 Preferred But Not Required
• Knowledge of SQL or Crystal Reports
• HFMA CRCR credential
💡 Why It’s a Win for Remote Job Seekers
• Long-standing healthcare organization with global impact
• Remote flexibility with structured onboarding
• Transparent, competitive benefits from day one
• Collaborative work culture with a mission-driven team
✍️ Call to Action
Join a nationally respected leader in pediatric specialty care and play a vital role in the revenue cycle process. If you’re detail-oriented, proactive, and experienced in healthcare billing, this role is a chance to make an impact from day one.