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Job Description Position Summary A well-known hospital system in California needs an Epic Billing specialist for a 3-6 month contract for a Go-Live project. Core Responsibilities • Error Correction & Claim Clearing: Reviewing claims that have been flagged with errors (e.g., missing modifiers, incorrect patient demographics, or coding discrepancies) and updating the data to make the claim "clean". [1], • Denial Management: Responding to insurance claim rejections by pulling clinical documentation, fixing billing codes, and resubmitting claims to ensure timely payment. [1], • Charge Review and Auditing: Monitoring incoming medical charges from various clinical departments to ensure they are mapping correctly to the billing module before a claim is generated. [1, 2], • Queue Maintenance: Managing the flow of the digital queues to prevent claims from aging or piling up, targeting a daily "work to zero" workflow. [1, 2] Minimum Qualifications • High school diploma or equivalent required; associate degree in healthcare administration, business, or related field preferred., • Two (2) to four (4) years of medical billing, claims processing, or revenue cycle experience required., • Minimum of one (1) year of hands-on experience working billing work queues in Epic Resolute (HB, PB, or both) required., • Working knowledge of UB-04 and CMS-1500 claim forms, CPT, HCPCS, ICD-10, and revenue codes., • Familiarity with commercial, Medicare, Medicaid, and managed care billing requirements. Preferred Qualifications • Epic Resolute Hospital Billing or Professional Billing certification, proficiency, or credentialed training., • Experience with clearinghouse platforms (e.g., Availity, Waystar, Experian) and payer portals., • Certified Revenue Cycle Representative (CRCR), Certified Professional Biller (CPB), or comparable certification., • Experience supporting work queue build, routing rules, or workflow redesign initiatives. \nCompany Description Mission-minded California hospital system that is focused on advanced technology and optimal patient care Mission-minded California hospital system that is focused on advanced technology and optimal patient care

ESSENTIAL FUNCTIONS Research proper coding options for medical procedures (Scope: lower extremities, both office and surgical) Attend conferences, symposiums, or other opportunities to learn new codes and coding rules Prepare summaries and assign the appropriate codes or code sets that apply Ass

ESSENTIAL FUNCTIONS Research proper coding options for medical procedures (Scope: lower extremities, both office and surgical) Attend conferences, symposiums, or other opportunities to learn new codes and coding rules Prepare summaries and assign the appropriate codes or code sets that apply Ass

Job DescriptionLHH Recruitment Solutions is partnering with a respected healthcare organization in Sacramento, CA to hire a Dental Insurance Billing Specialist on a temp-to-hire basis. This is a unique opportunity for an experienced dental billing professional to step into a newly created role focused on improving revenue cycle operations, reducing billing backlogs, and ensuring claims are accurate before submission. This position is ideal for someone who enjoys investigating issues, auditing claims, and solving problems rather than simply processing transactions. The successful candidate will play a key role in reviewing documentation, identifying coding discrepancies, verifying insurance coverage, and helping improve overall claim accuracy and reimbursement outcomes. Key Responsibilities • Audit dental insurance claims prior to submission, • Verify insurance eligibility and coverage, • Review and track pre-authorizations, • Analyze provider notes and supporting documentation, • Identify billing discrepancies and coding errors, • Ensure accurate CDT coding and claim submission requirements are met, • Research and resolve claim issues proactively, • Review new claims and help reduce an existing billing backlog, • Manage a workload of approximately 30 new claims daily during peak periods, • Work independently with minimal supervision, • Communicate with students, faculty, providers, and internal stakeholders as needed, • Support revenue cycle and billing process improvementsQualifications, • Minimum 3 years of insurance billing experience, • Dental billing experience required, • Experience with CDT coding, • Strong understanding of government insurance programs and managed care plans, • Proven ability to identify and resolve billing discrepancies, • Experience reviewing documentation for coding accuracy, • Strong auditing, analytical, and problem-solving skills, • Self-motivated with the ability to work independently, • Excellent attention to detail and organizational skillsPreferred Qualifications, • Epic experience preferred (system go-live scheduled for November), • Dental experience highly preferred, • Experience with government-sponsored dental insurance programs, • Previous dental clinic, dental practice, or healthcare provider experience, • Experience supporting revenue cycle improvements and claims quality initiativesWhy Consider This Opportunity?, • Temp-to-hire opportunity with long-term potential, • Newly created role with immediate impact, • Opportunity to help improve billing operations and reduce backlog, • Collaborative healthcare environment, • Work with an organization committed to serving students and faculty, • Gain experience supporting an Epic implementationPay Details: Pay will be based on experience, education, geographic location, and other factors in accordance with applicable laws. Range $24.18 to $27.37. Benefit offerings available for our temporary employees may include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits, and a 401(k) plan. Employees may also be eligible for paid leave, including sick leave and holiday pay where applicable. LHH Recruitment Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, age, or any other protected status under applicable law. Apply today to learn more about this Sacramento-area Dental Insurance Billing Specialist opportunity. Pay Details: $24.18 to $27.37 per hour Search managed by: Anne OBrien Silveira Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable. Equal Opportunity Employer/Veterans/Disabled Military connected talent encouraged to apply To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://www.lhh.com/us/en/candidate-privacy The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable: • The California Fair Chance Act, • Los Angeles City Fair Chance Ordinance, • Los Angeles County Fair Chance Ordinance for Employers, • San Francisco Fair Chance OrdinanceMassachusetts Candidates Only: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Job Description American River Visiting Providers Physician biller, infusion billing and collections Department: Revenue cycle, American River Visiting Providers (ARVP) Employment type: Full time Location: Sacramento, California About the role American River Visiting Providers is looking for a physician biller with hands on infusion billing experience to manage physician billing, collections, and specialty infusion billing and collections. This role sits at the center of our revenue cycle and also carries a patient facing responsibility, so the right person combines strong billing knowledge with a warm, clear communication style. This position works closely with clinical and front office teams to keep claims accurate, resolve denials quickly, and give patients a smooth billing experience. Key responsibilities • Prepare, submit, and track physician professional claims for Medicare, Medi-Cal, and commercial payers., • Manage specialty infusion billing and collections, including prior authorization follow up, J code and HCPCS accuracy, and payer specific infusion billing rules., • Work accounts receivable for physician and infusion services, following up on unpaid and underpaid claims until resolution., • Research and resolve claim denials and rejections, correcting and resubmitting claims within payer timelines., • Review coding and documentation for billing accuracy, coordinating with providers and coding staff as needed., • Serve as a patient facing point of contact for billing questions, payment plans, and statement disputes, delivering every interaction with patience and professionalism., • Verify insurance benefits and eligibility for physician and infusion visits when needed to support clean claims., • Verify Medicare eligibility and confirm patients meet Medicare coverage criteria for infused medications before billing., • Monitor that required lab work is received and on file to support medical necessity for infusion therapies., • Confirm that orders from the referring physician are valid, current, and properly signed before products are orders and services are billed., • Post payments, adjustments, and denials accurately, and reconcile accounts against remittance advice., • Track key collections metrics and flag trends or payer issues to leadership., • Maintain compliance with Medicare, Medi-Cal, and payer billing regulations, including timely filing and documentation standards. Qualifications • Two or more years of physician billing experience, required., • Direct experience with specialty infusion billing and collections, required., • Working knowledge of Medicare and Medi-Cal billing rules for physician and infusion services., • Familiarity with CPT, HCPCS, ICD 10, and J code billing for infused medications., • Experience with prior authorization processes for infusion therapies., • Understanding of Medicare coverage criteria for infused medications, including required labs and supporting documentation., • Comfortable speaking with patients directly about balances, statements, and payment options., • Strong organizational skills and attention to detail when managing multiple accounts., • Experience with Athena platform preferred., • Clear written and verbal communication skills. What we offer • A collaborative team within a growing multi division healthcare organization., • Competitive pay based on experience., • Health benefits and paid time off., • A supportive environment that invests in training on evolving billing and payer requirements.