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Job description
We are partnered with a wonderful organization seeking an experienced Epic Hospital Billing (HB) Analyst with deep expertise in HB Administration, Claims, Remittance, Contract Management, and Proration . This individual will be responsible for end-to-end lifecycle accountability for the design, build, optimization, support, and maintenance of Epic HB applications, ensuring accurate billing, reimbursement, and payer contract performance.
The ideal candidate will possess advanced knowledge of Epic HB workflows and have extensive experience configuring and supporting complex reimbursement contracts, proration methodologies, claim processing, and remittance functions within Epic.
This is a remote, long-term, two-year engagement supporting a healthcare organization's Epic environment. The role is salaried only.
Must be available to work Pacific Time (West Coast) business hours and participate in a rotating on-call support schedule.
What will I be doing?
Analyze, design, configure, test, implement, and support Epic Hospital Billing (HB) applications
As a top-tier SME, lead the build, maintenance, and optimization of complex reimbursement contracts and payment methodologies
Configure and support Epic Claims and Remittance functionality, including claim generation, payment posting, and reimbursement processing
Collaborate with patient financial services, managed care, revenue integrity, finance, and operational leaders to improve billing and reimbursement outcomes
Translate payer contract requirements into Epic HB system configuration
Configure and support proration methodologies and reimbursement calculations
Troubleshoot complex billing, payment, remittance, and contract-related issues
Perform reimbursement validation and payment variance analysis
Lead system testing, integrated testing, upgrades, enhancements, and payer contract updates
Develop functional specifications, workflow diagrams, and support documentation
Identify opportunities to improve workflow efficiency, reimbursement accuracy, and revenue cycle performance
Provide production support and ongoing optimization recommendations
Serve as a subject matter expert for Epic HB, Claims, Remittance, Contracts, and Proration
What requirements do I need?
Epic HB certification or proficiency
5+ years of Epic Hospital Billing (HB) analyst experience which includes:Epic HB Administration
Claims Management
Remittance Processing
Contract Management
Proration Configuration
Reimbursement Analysis
Bachelor's degree in Information Systems, Healthcare Administration, Business, or related field, or equivalent experience
Extensive knowledge of hospital revenue cycle operations and payer reimbursement methodologies
Experience building and maintaining complex payer contracts within Epic HB
Strong analytical, troubleshooting, and problem-solving skills
Excellent communication and stakeholder management abilities
Preferred Qualifications
Epic certifications in HB, Claims, Remittance, or related revenue cycle applications
Experience supporting large healthcare systems or integrated delivery networks
Knowledge of managed care contracting and reimbursement modeling
Experience with revenue integrity initiatives and denial prevention strategies
Experience supporting Epic upgrades, implementations, and optimization projects
Familiarity with reporting and reimbursement analytics tools
Apply today!
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Worksite address
san diego, CA, 92189, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.