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Waterfall Technology Consulting Partners

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Epic Certified HB Analyst

AnalystAnalystFull TimeRemoteSeniorTeam 1-10Since 2018H1B No SponsorCompany SiteLinkedIn

Location

California

Posted

4 days ago

Salary

$126K - $136K / year

Seniority

Senior

Bachelor Degree5 yrs expEnglish

Job Description

Epic Certified HB Analyst

Waterfall Technology Consulting Partners

• 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

Job 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

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