Epic Certified HB Analyst Remote San Diego, CA

We are partnered with a wonderful organizationseeking 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 organizations 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
• Bachelors 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

If you have the skills required for this role we want to speak to you.

Apply today!