Senior Epic General Pharmacy Billing Consultant

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Logo of The Wilshire Group

The Wilshire Group

11 - 50 employees

⚕️ Healthcare Insurance

🏢 Enterprise

Healthcare Insurance • Consulting • Enterprise

The Wilshire Group is a consultancy firm that specializes in optimizing revenue cycle operations and IT solutions for the healthcare industry. They provide services in patient access, health information management, revenue integrity, and billing for both hospital and professional settings. The firm focuses on enhancing financial experiences by partnering with clients to solve complex challenges at the intersection of operations and technology. The Wilshire Group is dedicated to helping organizations maximize their EHR investments and improve revenue recognition and workflow optimization, ensuring consistent and proven results.

📋 Description

• Participate in initiative-related meetings to represent revenue cycle interests and provide subject matter expertise • Identify and communicate downstream impacts of pharmacy build decisions on Hospital Billing (HB), Professional Billing (PB), and Claims teams • Provide build guidance, advising on how proposed builds affect billing workflows and revenue cycle outcomes • Collaborate closely with billing team members to support and inform build efforts • Support the expansion of compound medication offerings within the Epic pharmacy build

🎯 Requirements

• Epic certification (required) • Demonstrated experience across all HB, PB, and Claims modules • Strong background in Epic build, with the ability to translate build decisions into revenue cycle impact assessments • Proven experience as a revenue cycle consultant in a healthcare/Epic environment

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