Job Description

Role Overview:

The Epic Analyst Professional Billing and Claims is responsible for designing, building, optimizing and supporting Epic s Professional Billing (PB) and Claims modules. You will collaborate with key stakeholders in the revenue cycle, finance, and IT teams to ensure Epic solutions are effectively meeting the agency s needs and regulatory requirements. Your expertise will directly support streamlined billing processes, accurate claim submission, and improved financial performance.

What you will do:

• Analyze existing billing and claims workflows and configure Epic PB and Claims modules to support end-to-end revenue cycle function.
• Design, build, test and implement new features, enhancements, and fixes within Epic PB and Claims applications.
• Provide daily system support and issue resolution related to charge capture, claim edits, remittance processing, and denials.
• Participate in Epic version upgrades, regression testing, and change control processes to ensure continued system reliability.
• Ensure all build and processes align with regulatory standards (HIPAA, CMS, etc.)

Preferred qualifications:

• Epic Professional Billing certification
• Understanding of healthcare billing, coding, claims processing and reimbursement workflows
• Knowledge of payer rules, denial management, and revenue cycle KPIs

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