Job Overview
Location
Remote - US
Job Type
Full-time
Category
Software Engineering
Date Posted
April 2, 2026
Full Job Description
đź“‹ Description
- • The UB-04 Claims Biller (Epic) role at TruBridge is critical to ensuring accurate and timely reimbursement for hospital and Rural Health Clinic (RHC) services by managing the full lifecycle of insurance claims, with a strong focus on denial resolution and compliance.
- • This position directly impacts the financial health of healthcare providers by maximizing claim acceptance rates, reducing days in accounts receivable, and ensuring adherence to complex payer and regulatory requirements.
- • Day-to-day responsibilities include preparing, reviewing, and submitting hospital and RHC claims to commercial insurance carriers using Epic, ensuring correct application of CPT, HCPCS, ICD-10, revenue codes, and modifiers specific to RHC billing guidelines.
- • The role involves verifying charges, units, dates of service, provider credentials, and place of service to prevent claim rejections and ensure clean claim submissions.
- • A significant portion of the work focuses on denial management: analyzing denials, identifying root causes (such as coding errors, authorization issues, eligibility, or timely filing), preparing corrected claims, and submitting formal appeals with supporting documentation.
- • The biller conducts timely follow-up with insurance payers on unpaid, underpaid, or delayed claims, communicates with payer representatives to obtain status updates, and maintains detailed records in the billing system to meet productivity benchmarks.
- • Collaboration is key—this role requires close coordination with coding, registration, authorization, and clinical teams to resolve billing discrepancies and ensure accurate charge capture.
- • The position demands staying current with evolving payer policies, federal regulations (including HIPAA), and RHC-specific billing updates to maintain compliance and recommend process improvements.
- • Success in this role contributes to optimized revenue cycle performance, reduced claim rework, and improved cash flow for TruBridge’s healthcare provider clients.
- • The individual will develop deep expertise in Epic-based hospital and RHC billing, denial analytics, and payer negotiation—skills that are highly valued in healthcare revenue cycle management.
🎯 Requirements
- • Required experience working with EPIC for hospital and/or Rural Health Clinic (RHC) claims billing
- • Strong knowledge of CPT, ICD-10-CM, HCPCS, and modifiers, including RHC-specific billing requirements
- • Proven experience in insurance billing, denial management, and claim follow-up with commercial payers
- • Ability to manage high-volume workloads with exceptional attention to detail and organizational skills
- • Familiarity with payer portals, claim management systems, and compliance with federal regulations and payer contracts
🏖️ Benefits
- • Fully remote position based in the United States, offering flexibility and work-life balance
- • Opportunity to specialize in high-demand healthcare revenue cycle and Epic billing expertise
- • Collaborative environment with exposure to coding, clinical, and payer operations teams
- • Professional growth in denial analytics, process improvement, and revenue optimization strategies
Skills & Technologies
About TruBridge
TruBridge is a healthcare solutions company that provides comprehensive revenue cycle management, electronic health record (EHR), and various technology and services designed to enhance the financial and operational health of healthcare organizations. Serving rural, critical access, and community hospitals, as well as ambulatory clinics and providers across the U.S., TruBridge empowers clients to simplify workflows, improve financial outcomes, and deliver better patient care. With over 45 years of healthcare experience and trusted by more than 1,500 clients, the company focuses on creating stronger communities by ensuring healthcare organizations remain independent and financially stable. They specialize in tailoring solutions to unique client needs, clearing the way for care.
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