Professional Billing & Revenue Cycle SME
Hybrid - US
Professional Billing & Revenue Cycle SME
Full Time • Hybrid - US
Job Title: Professional Billing & Revenue Cycle SME
Job Code: MS 160268
Client: Mississippi State Department of Health (MSDH)
Location: Jackson, MS (Hybrid – 75% Remote / 25% Onsite)
Duration: 1+ Year Contract
Work Hours: Monday – Friday, 8:00 AM – 5:00 PM (40 Hours/Week)
Work Location Address: 570 East Woodrow Wilson Avenue, Jackson, MS 39211
Job Code: MS 160268
Client: Mississippi State Department of Health (MSDH)
Location: Jackson, MS (Hybrid – 75% Remote / 25% Onsite)
Duration: 1+ Year Contract
Work Hours: Monday – Friday, 8:00 AM – 5:00 PM (40 Hours/Week)
Work Location Address: 570 East Woodrow Wilson Avenue, Jackson, MS 39211
Position Overview
The Mississippi State Department of Health (MSDH) is seeking an experienced Epic PB (Professional Billing) & Revenue Cycle Subject Matter Expert (SME) to support revenue cycle operations and patient benefits analysis across multiple clinic locations. This role will focus on coverage discovery, patient responsibility analysis, insurance benefit interpretation, revenue cycle optimization, and Epic Professional Billing workflows.
Note: This is a hybrid position. Fully remote candidates will not be considered. Occasional travel may be required and reimbursed.
Key Responsibilities
- Review insurance coverage discovery for scheduled patient appointments and determine patient financial responsibility.
- Document coverage and benefits information accurately within Epic.
- Analyze trends related to patient responsibility collections and third-party payer reimbursements across 88 clinic locations.
- Recommend process improvements to optimize revenue cycle performance and collections.
- Interpret Real-Time Eligibility (RTE) responses and third-party insurance coverage data.
- Support revenue cycle reporting, claims adjudication, data analysis, and training initiatives.
- Collaborate with clinical leadership, operations teams, and revenue cycle stakeholders.
- Assist with clearinghouse processes, benefit verification, and patient financial workflows.
- Provide subject matter expertise related to Epic Professional Billing (PB) and revenue cycle operations.
Required Skills
- Advanced Epic Professional Billing (PB) experience.
- RHIA, RHIT, or CPC Certification (Required).
- Revenue Cycle Clearinghouse expertise.
- Insurance Benefit Interpretation experience.
- Revenue Cycle reporting, build, workflow logic, and claims adjudication.
- Third-Party Coverage Discovery experience.
- Real-Time Eligibility (RTE) Interpretation.
- Revenue Cycle data analysis and training experience.
Preferred Skills
- Mississippi healthcare experience.
- Public Health or Community Health experience.
- Physician Clinic revenue cycle experience.
- FQHC (Federally Qualified Health Center) experience.
- RHC (Rural Health Clinic) revenue cycle experience.
Primary Skills
Epic PB, Revenue Cycle, Revenue Cycle Clearinghouse, Insurance Benefit Interpretation, Third-Party Coverage Discovery, Claims Adjudication, RTE Interpretation, Revenue Cycle Reporting, Public Health, Community Health, Physician Clinic, FQHC, RHC, Mississippi Healthcare
Epic PB, Revenue Cycle, Revenue Cycle Clearinghouse, Insurance Benefit Interpretation, Third-Party Coverage Discovery, Claims Adjudication, RTE Interpretation, Revenue Cycle Reporting, Public Health, Community Health, Physician Clinic, FQHC, RHC, Mississippi Healthcare
Flexible work from home options available.
About SR International INC.
SR International has been a leading name among the IT consulting companies with offices in US and India. For past 16 years, our industry experience and domain knowledge have enabled us to provide innovative solutions to our customers.
Who We Are
Who We Are
We Are Leading IT Based Solution Providers
Today, the world of business information represents the realization of our collective efforts toward improving the future. Held only by the limits of our imagination, the business world is accelerating at an ever-increasing pace. Imagine a better way of doing business, of implementing the perfect software, of refining practice or business integration. All it takes are benchmark standards in service, support, and technical know-how, which have been our bread and butter.
Our Vision.
Our Vision.
Established in 2002, SR International Inc is one of the fastest growing and reputed provider of Information Technology Services and Solutions in the USA. Since our inception, we have been a trusted IT partner for our clients. We take pride in our highly skilled IT Resources and unique engagement model. We have been consistently delivering on our promises as a high-performance team. Our expertise in Cloud Computing, Mobility, Web Technologies, ERP and CRM are second to none. Our industry-leading flagship product iMathSmart is re-defining math learning experience for school students.
Career At SR International
At SR International, we treat our consultants like family. Our business and our reputation have been built and maintained by quality resources working onboard, so it’s important for us to maintain the quality resource pool.
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