EPIC ANALYST- BILLING CLAIMS & ELECTRONIC REMITTANCE

Not specified

The Epic Billing Claims and Electronic Remittance Analyst is responsible for the design, build, optimization, and support of Epic Revenue Cycle functionality related to claims submission, electronic remittance advice (ERA), and payer connectivity.

This role partners with Revenue Cycle, Patient Financial Services, IT, and external payers to ensure accurate and timely billing, reimbursement, and compliance.

Application Build & Configuration: Configure and maintain claims, ERA workflows, and revenue cycle functionality; Build payer edits, claim formats, remittance routing, and posting logic; Support clearinghouse integrations and EDI transactions (837, 835, 276/277, 999).

Claims & Remittance Operations: Troubleshoot claim rejections, denials, and posting issues; Analyze payer responses; Support payment posting and reconciliation; Improve first-pass claim acceptance.

Optimization & Reporting: Analyze workflows and implement improvements; Develop reports and dashboards; Support system upgrades and enhancements.

Collaboration & Governance: Partner with stakeholders and vendors; Participate in governance and project teams; Support testing activities; Provide training and documentation.

Compliance & Quality: Ensure regulatory compliance (CMS, HIPAA); Support audits; Follow change management standards.

Bachelor’s degree in Information Systems , Business, Healthcare Administration, or related field or equivalent experience; 1–3 years of Epic or revenue cycle experience; Understanding of healthcare billing and payer workflows; Knowledge of EDI transactions and remittance processes; Strong analytical and communication skills.

Epic certification in Billing or ability to obtain within 90 days; Experience with Epic Hospital or Professional Billing; Experience supporting claims and remittance workflows.

Ability to translate billing workflows into Epic configurations; Strong attention to detail; Ability to work independently and collaboratively; Strong time management and prioritization; Ability to handle sensitive information; Experience with Epic Hyperspace, Reporting Workbench, and SmartTools preferred.

Standard office or hybrid environment; Occasional after-hours or on-call support for upgrades, go-lives, or critical workflows.

All candidates must be able to perform the essential functions of this position.

The American with Disabilities Act (ADA) requires that reasonable accommodations be made for qualified individuals to help perform the essential functions of the position.

South Central Regional Medical Center is an equal opportunity employer and does not discriminate based on race, color, religion, sex, gender, national origin, age, disability, or genetic information.