(Remote – U.S.)
🧾 About the Role
Shriners Children’s is seeking a Professional Billing Specialist to join its Revenue Cycle team. In this full-time remote role, you’ll manage accounts receivable, billing workflows, and denial/appeal follow-up for professional claims. The role demands a strong understanding of Epic PB Resolute and medical billing compliance in a hospital or healthcare environment.
✅ Position Highlights
• Full-Time
• 100% Remote (U.S. based)
• Benefits eligible on Day 1
• 403(b) + Roth with up to 6% match after 1 year
• Paid time off + life/disability coverage (FT/PT)
• Tuition reimbursement + optional plans (pet, critical illness, auto, etc.)
• Named Forbes 2025 Best Midsize Employer
📋 What You’ll Own
• Manage A/R tasks and workflows for professional billing claims
• Handle denial management and appeal submissions with third-party payors
• Categorize and escalate appeals appropriately based on payer rules
• Track, analyze, and report denial trends and payer issues
• Coordinate payer documentation requests within a 48-hour window
• Maintain and train others on the denial management software
• Ensure resolution of claim edits and denials through Epic work queues
• Support the Denials Management team in special projects and committee prep
• Build relationships with payer reps and contribute to payer relations strategy
🎯 Must-Have Traits
• 5+ years in healthcare/hospital revenue cycle
• Epic PB Resolute experience (certification or willingness to certify within 12 months)
• Experience with EDI transactions, including 837P and 835 interpretation
• Knowledge of insurance contracts, government billing rules, CPT/HCPCS/ICD-10/CCI
• Strong Excel + general computer/database proficiency
• Bachelor’s degree or equivalent combination of education and experience
✨ Bonus Points
• CRCR credential from HFMA
• Experience with SQL or Crystal Reports
💡 Why It’s a Win for Remote Job Seekers
• Mission-driven pediatric care organization with global impact
• Benefits that start immediately
• High autonomy in a virtual setting
• Deep industry recognition (Forbes, HFMA, etc.)
✍️ Call to Action
Join a compassionate team redefining pediatric care through technology and heart. If you’re an expert in revenue cycle billing with the drive to make a difference, apply today to Shriners Children’s.