Senior Epic Hospital Billing Analyst

Epic Resolute Hospital Billing (HB) Certification required

Additional certifications preferred:

Epic Claims

Epic Contract Management

Epic Hospital Billing Administration

Reporting Workbench

Clarity Data Model

Cogito reporting tools

Experience Requirements

Senior-Level Experience

5 8+ years of healthcare IT experience

3 5+ years supporting Epic Resolute HB

Experience leading implementations, upgrades, and optimization projects

Experience supporting multiple hospitals or health systems

Demonstrated ownership of complex application build and workflow redesigns

Hospital Revenue Cycle Experience

Strong understanding of:

Facility billing

Inpatient billing

Outpatient billing

Claim generation and submission

Reimbursement methodologies

Revenue integrity processes

Denials management

Payment posting

Credit and collections

Government and commercial payer requirements

Epic Build and Support Experience

Application configuration and maintenance

Workflow analysis and optimization

Upgrade planning and testing

Integrated testing

Incident and problem management

Change control processes

End-user support and troubleshooting

Technical Skills

A Senior HB Analyst is generally expected to demonstrate advanced knowledge

of:

Epic Resolute HB Build

Charge master integration

Charge review queues

Claim edits

Billing rules

Payment posting configuration

Workqueues

Remittance processing

Financial class and payer configuration

Statement processing

Account and claim workflows

Revenue Cycle Knowledge

Senior analysts are expected to understand:

Billing Forms and Regulations

UB-04 billing requirements

Medicare reimbursement methodologies

Medicaid requirements

Commercial payer contract concepts

Revenue codes

DRGs

APCs

Observation billing

Compliance requirements

Operational Workflows

Patient Access

HIM coding workflows

Case management interactions

Charge capture

Claims and reimbursement lifecycle

Revenue cycle KPIs and reporting

Leadership Expectations

A Senior Epic HB Analyst frequently:

Leads major projects and application enhancements

Facilitates design and workflow sessions

Mentors junior analysts

Coordinates testing efforts

Serves as the HB subject matter expert

Partners with operational leadership

Creates documentation and training materials

Provides recommendations for revenue cycle optimization

Required Skills :

Basic Qualification :

Additional Skills :

Background Check : No

Drug Screen : No