Job Description

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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