New

Medical Biller- FULLY REMOTE!

TEKsystems
$28.00 / hr
life insurance, sick time, 401(k), retirement plan
United States, Virginia, Chesapeake
Jun 21, 2025
TekSystems is currently hiring for several FULLY REMOTE AR Medical Billers, these positions can sit anywhere EST time zone. MUST HAVE: 5 years of medical AR Follow up billing experience, MUST have EPIC experience! Description THIS PROJECT IS SLATED TO START 7/28/2025 AND RUN THROUGH 10/17/2025. I know that is only 3 months but there is a change it will go longer! The revenue cycle for Reference Lab was outsourced to another healthcare company and recently brought back in house as of December 1, 2024 . When it was brought this back in house, it was moved to a reference tax identification number which means it is being reimbursed as a true reference lab on 1500 claims, not UB claims. (The CMS-1500 form is used for non-institutional claims by individual healthcare providers, while the UB-04 (CMS-1450) form is used for institutional claims by facilities like hospitals) The client has never billed this business in EPIC, so IT is currently building this out. The EPIC build for the Reference Lab is set to Go Live as of July 14, 2025 (this could change) Right now, Sentara has a team that is registering all Reference Lab patients in EPIC because the providers still need to get the lab results. However, they are not able to add all the diagnosis codes and CPT codes yet. They have been holding all claims since December 1, 2024. Sentara's Reference Lab is generating about 110,000 claims per month. By the time EPIC goes live in July, they will need to bill out roughly 900,000 claims. Desired Future State- Once the reference lab billing is live in EPIC, they wants to release the claims in phases 15,000 new claims released per day over a 3-month time frame TEKsystems will work out of an EPIC que and excel to finish up the lab patient registration process TEKsystems will be matching the diagnosis code for each encounter and attaching it to each CPT code on the claim TEKsystems will verify insurance and eligibility along with providing denial follow up with the payer All reporting will be pulled from EPIC Once it goes live in EPIC, claims will be bill out in a phased approach - about 15,000 claims per day. It will take about 3 months to get all claims billed out (900,000 claims roughly) About 2-3 weeks after the claims get billed out, our team will work on FOLLOW UP for denials That is where the team will look at what comes back from the payers Denial on follow up- *FOCUS ON ELIGIBILITY DENIALS - file correct insurance, etc. They will not be focusing on medical necessity denials because Sentara doesn't think they will get these approved to pay out. The big thing our team will be working on are denials due to eligibility - need to enter correct insurance info, etc. Should be easy fixes to then re-bill and get paid by insurance. The team will work in EPIC - work ques and also off Excel Spread Sheets The EPIC module is EPIC Requisition Additional Skills & Qualifications* Ability to work independently Strong Excel knowledge Strong computer skills AR Follow Up Billing - understanding of CPT codes EPIC Want someone with 5+ years of experience to the project and autonomy needed Pay and Benefits The pay range for this position is $28.00 - $28.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: * Medical, dental & vision * Critical Illness, Accident, and Hospital * 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available * Life Insurance (Voluntary Life & AD&D for the employee and dependents) * Short and long-term disability * Health Spending Account (HSA) * Transportation benefits * Employee Assistance Program * Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a fully remote position. Application Deadline This position is anticipated to close on Jun 30, 2025. h4>About TEKsystems: We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. About TEKsystems and TEKsystems Global Services We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.