Epic specialties | PB & Billing

Epic specialties | PB & Billig
Remote/hybrid/ onsite : Hybrid ( Expected to travel once a month onsite for 2 days)
Preferred time zone - PST
Key Responsibilities:

• Configure and maintain EPIC PB and Claims module settings including charge router, fee schedules, billing workflows, and claim edits.
• Collaborate with operational stakeholders to identify business needs and translate them into system configurations.
• Perform system analysis, testing, and validation to ensure optimal performance and accurate data flow within EPIC and between interfacing systems.
• Troubleshoot billing and claims issues, conduct root cause analysis, and implement configuration changes or enhancements.
• Monitor system updates and new releases; participate in upgrade testing and deployment.
• Develop and maintain documentation for configurations, workflows, and changes.
• Provide user support and training on billing workflows and system functionality.
• Ensure compliance with CMS regulations, payer rules, and industry standards in configuration and design.

• Bachelor's degree in Information Systems, Healthcare Administration, or a related field (or equivalent experience).
• EPIC Certification in Professional Billing (PB) and/or Claims modules (required).
• 10+ years of experience configuring and supporting EPIC PB Billing and Claims modules.
• In-depth knowledge of revenue cycle processes including charge capture, coding, billing, claim submission, and denials management.
• Strong problem-solving, documentation, and communication skills.
• Experience with SQL or reporting tools is a plus.

• Experience with cross-functional teams involving clinical and administrative stakeholders.
• Familiarity with additional EPIC modules (e.g., HB, Resolute, Prelude, or Cadence).
• Prior experience with healthcare payer rules, contract management, or denial analytics