Epic Hospital Billing (HB) Analyst – Contracts, Claims & Remittance
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AI Summary
CTG is seeking an experienced an experienced Epic Hospital Billing (HB) Analyst with deep expertise in HB Administration, Claims, Remittance, Contract Management, and Proration. This individual will be responsible for end-to-end lifecycle accountability for the design, build, optimization, support, and maintenance of Epic HB applications, ensuring accurate billing, reimbursement, and payer contract performance.
The ideal candidate will possess advanced knowledge of Epic HB workflows and have extensive experience configuring and supporting complex reimbursement contracts, proration methodologies, claim processing, and remittance functions within Epic.
Responsibilities
- 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.
Required Qualifications
- Bachelor's degree in Information Systems, Healthcare Administration, Business, or related field, or equivalent experience.
- 5+ years of Epic Hospital Billing (HB) analyst experience.
- Epic HB certification or proficiency required.
- Strong experience supporting:
- Epic HB Administration
- Claims Management
- Remittance Processing
- Contract Management
- Proration Configuration
- Reimbursement Analysis
- 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.
Preferred Qualifications
- Epic certifications in HB, Claims, Remittance, or related revenue cycle applications.
- Experience supporting large healthcare systems or integrated delivery networks.
- Knowledge of managed care contracting and reimbursement modeling.
- Experience with revenue integrity initiatives and denial prevention strategies.
- Experience supporting Epic upgrades, implementations, and optimization projects.
- Familiarity with reporting and reimbursement analytics tools.
Key Areas of Expertise
- Epic Hospital Billing (HB)
- HB Administration
- Claims Processing
- Remittance Processing
- Contract Management
- Proration Methodologies
- Reimbursement Modeling
- Revenue Cycle Operations
- Payment Variance Analysis
- Testing Strategy Ownership
- Managed Care Contracts
- Revenue Integrity
- Billing Optimization
Ideal Candidate Profile
The successful candidate is a senior Epic HB professional with exceptional expertise in HB Administration, Claims, Remittance, Contracts, and Proration. They have a proven ability to configure complex reimbursement methodologies, optimize revenue cycle workflows, resolve challenging billing issues, and maximize reimbursement outcomes through effective Epic HB configuration and support.
CTG does not accept unsolicited resumes from headhunters, recruitment agencies, or fee based recruitment services for this role.
To Apply:
To be considered, please apply directly to this requisition using the link provided. Kindly forward this to any other interested parties. Thank you!
The expected base salary for this position ranges from $120,000 to $130,000. Salary offers are based on a wide range of factors including relevant skills, training, experience, education, market factors, and where applicable, licensure or certifications obtained. In addition to salary, a competitive benefit package is also offered.
About CTG
CTG, a Cegeka company, delivers IT and business solutions that enhance clients’ digital agility, empowering them to seize new opportunities and overcome any challenge. Backed by more than 60 years’ experience and a commitment to being a reliable, results-driven partner, we work shoulder to shoulder with clients to shape digital together. Our vision is to be an indispensable partner to our clients and the preferred career destination for digital and technology experts. With more than 9,000 team members in over 15 countries, we combine global expertise with local insight to deliver innovative solutions. We operate across the Americas, Europe, and India, working with over 3,000 clients in many of today's highest-growth industries.
Together, we shape what’s next—working shoulder to shoulder to deliver impactful solutions for our clients and society. Our culture is built by the people who work at CTG, the values we hold, and the actions we take. It's a living, breathing thing that is renewed every day through the ways we engage with each other, our clients, and our communities. At CTG, you’ll find a workplace where you are encouraged to grow, supported in your ambitions, and empowered to shape your own career journey. For more information, visit www.ctg.com.
CTG will consider for employment all qualified applicants including those with criminal histories in a manner consistent with the requirements of all applicable local, state, and federal laws.
CTG is an Equal Opportunity Employer. CTG will assure equal opportunity and consideration to all applicants and employees in recruitment, selection, placement, training, benefits, compensation, promotion, transfer, and release of individuals without regard to race, creed, religion, color, national origin, sex, sexual orientation, gender identity and gender expression, age, disability, marital or veteran status, citizenship status, or any other discriminatory factors as required by law. CTG is fully committed to promoting employment opportunities for members of protected classes.
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