Epic Certified HB Analyst

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🔥 0 minutes ago

🏄 California – Remote

🏄 California – Remote

💵 $126k - $136k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🧐 Analyst

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Waterfall Technology Consulting Partners

WebsiteLinkedInAll Job Openings

1 - 10 employees

Founded 2018

👥 HR Tech

🎯 Recruiter

HR Tech • Healthcare • Recruitment

Waterfall Technology Consulting Partners is a staffing and recruiting agency that specializes in providing talent for sectors such as healthcare, IT, HR, and manufacturing. They offer various workforce solutions including permanent placements, temporary staffing, and contract positions, catering to the specific hiring needs of their clients.

📋 Description

• 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

🎯 Requirements

• 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