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

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

Epic Certified HB Analyst

Key skills