Epic Certified HB Analyst

We are partnered with a wonderful organization seeking an experienced 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) applicationsAs a top-tier SME, lead the build, maintenance, and optimization of complex reimbursement contracts and payment methodologiesConfigure and support Epic Claims and Remittance functionality, including claim generation, payment posting, and reimbursement processingCollaborate with patient financial services, managed care, revenue integrity, finance, and operational leaders to improve billing and reimbursement outcomesTranslate payer contract requirements into Epic HB system configurationConfigure and support proration methodologies and reimbursement calculationsTroubleshoot complex billing, payment, remittance, and contract-related issuesPerform reimbursement validation and payment variance analysisLead system testing, integrated testing, upgrades, enhancements, and payer contract updatesDevelop functional specifications, workflow diagrams, and support documentationIdentify opportunities to improve workflow efficiency, reimbursement accuracy, and revenue cycle performanceProvide production support and ongoing optimization recommendationsServe as a subject matter expert for Epic HB, Claims, Remittance, Contracts, and ProrationWhat requirements do I need?Epic HB certification or proficiency5+ years of Epic Hospital Billing (HB) analyst experience which includes:Epic HB AdministrationClaims ManagementRemittance ProcessingContract ManagementProration ConfigurationReimbursement AnalysisBachelor’s degree in Information Systems, Healthcare Administration, Business, or related field, or equivalent experienceExtensive knowledge of hospital revenue cycle operations and payer reimbursement methodologiesExperience building and maintaining complex payer contracts within Epic HBStrong analytical, troubleshooting, and problem-solving skillsExcellent communication and stakeholder management abilitiesPreferred QualificationsEpic certifications in HB, Claims, Remittance, or related revenue cycle applicationsExperience supporting large healthcare systems or integrated delivery networksKnowledge of managed care contracting and reimbursement modelingExperience with revenue integrity initiatives and denial prevention strategiesExperience supporting Epic upgrades, implementations, and optimization projectsFamiliarity with reporting and reimbursement analytics toolsIf you have the skills required for this role, we want to speak to you.Apply today! We are partnered with a wonderful organization seeking an experienced 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) applicationsAs a top-tier SME, lead the build, maintenance, and optimization of complex reimbursement contracts and payment methodologiesConfigure and support Epic Claims and Remittance functionality, including claim generation, payment posting, and reimbursement processingCollaborate with patient financial services, managed care, revenue integrity, finance, and operational leaders to improve billing and reimbursement outcomesTranslate payer contract requirements into Epic HB system configurationConfigure and support proration methodologies and reimbursement calculationsTroubleshoot complex billing, payment, remittance, and contract-related issuesPerform reimbursement validation and payment variance analysisLead system testing, integrated testing, upgrades, enhancements, and payer contract updatesDevelop functional specifications, workflow diagrams, and support documentationIdentify opportunities to improve workflow efficiency, reimbursement accuracy, and revenue cycle performanceProvide production support and ongoing optimization recommendationsServe as a subject matter expert for Epic HB, Claims, Remittance, Contracts, and ProrationWhat requirements do I need?Epic HB certification or proficiency5+ years of Epic Hospital Billing (HB) analyst experience which includes:Epic HB AdministrationClaims ManagementRemittance ProcessingContract ManagementProration ConfigurationReimbursement AnalysisBachelor’s degree in Information Systems, Healthcare Administration, Business, or related field, or equivalent experienceExtensive knowledge of hospital revenue cycle operations and payer reimbursement methodologiesExperience building and maintaining complex payer contracts within Epic HBStrong analytical, troubleshooting, and problem-solving skillsExcellent communication and stakeholder management abilitiesPreferred QualificationsEpic certifications in HB, Claims, Remittance, or related revenue cycle applicationsExperience supporting large healthcare systems or integrated delivery networksKnowledge of managed care contracting and reimbursement modelingExperience with revenue integrity initiatives and denial prevention strategiesExperience supporting Epic upgrades, implementations, and optimization projectsFamiliarity with reporting and reimbursement analytics toolsIf you have the skills required for this role, we want to speak to you.Apply today! We are partnered with a wonderful organization seeking an experienced 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) applicationsAs a top-tier SME, lead the build, maintenance, and optimization of complex reimbursement contracts and payment methodologiesConfigure and support Epic Claims and Remittance functionality, including claim generation, payment posting, and reimbursement processingCollaborate with patient financial services, managed care, revenue integrity, finance, and operational leaders to improve billing and reimbursement outcomesTranslate payer contract requirements into Epic HB system configurationConfigure and support proration methodologies and reimbursement calculationsTroubleshoot complex billing, payment, remittance, and contract-related issuesPerform reimbursement validation and payment variance analysisLead system testing, integrated testing, upgrades, enhancements, and payer contract updatesDevelop functional specifications, workflow diagrams, and support documentationIdentify opportunities to improve workflow efficiency, reimbursement accuracy, and revenue cycle performanceProvide production support and ongoing optimization recommendationsServe as a subject matter expert for Epic HB, Claims, Remittance, Contracts, and ProrationWhat requirements do I need?Epic HB certification or proficiency5+ years of Epic Hospital Billing (HB) analyst experience which includes:Epic HB AdministrationClaims ManagementRemittance ProcessingContract ManagementProration ConfigurationReimbursement AnalysisBachelor’s degree in Information Systems, Healthcare Administration, Business, or related field, or equivalent experienceExtensive knowledge of hospital revenue cycle operations and payer reimbursement methodologiesExperience building and maintaining complex payer contracts within Epic HBStrong analytical, troubleshooting, and problem-solving skillsExcellent communication and stakeholder management abilitiesPreferred QualificationsEpic certifications in HB, Claims, Remittance, or related revenue cycle applicationsExperience supporting large healthcare systems or integrated delivery networksKnowledge of managed care contracting and reimbursement modelingExperience with revenue integrity initiatives and denial prevention strategiesExperience supporting Epic upgrades, implementations, and optimization projectsFamiliarity with reporting and reimbursement analytics toolsIf you have the skills required for this role, we want to speak to you.Apply today!

• 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