Epic HB Claims Analyst
Insight Global
Experience with 2+ Epic implementations/go-lives Bachelor's Degree Willingness to be onsite in Delaware during critical implementation and go-live activities Plusses Coding certifications or HIM experience Former EPIC consultant or EPIC employee background Job Description Insight Global is seeking an Epic HB Claims Analyst for a healthcare organization preparing for an Epic go-live this fall. This consultant will serve as the primary Hospital Billing (HB) Claims subject matter expert, supporting claims administration, reimbursement workflows, payer posting, contract billing, and third-party claims integrations. The ideal candidate has extensive hands-on Epic HB Claims experience, including Epic build and configuration, claims optimization, denial management, and reimbursement processes. This individual should have experience supporting Epic implementations through testing, training, go-live, and post-live stabilization, while partnering closely with revenue cycle, operational, and technical teams to ensure successful adoption and long-term claims performance. The consultant will play a critical role in supporting implementation milestones, ensuring claims processing accuracy, and driving workflow optimization before, during, and after go-live. The ability to work onsite during key phases of the implementation are required. Day-to-Day Serve as the Epic HB Claims SME supporting implementation, optimization, and operational readiness activities. Build, configure, and maintain Epic Hospital Billing claims workflows and functionality. Support claims administration processes, including claim generation, editing, submission, reconciliation, and reimbursement workflows. Manage payer posting processes and support contract billing functionality to ensure accurate claims adjudication and reimbursement. Collaborate with internal and external stakeholders to support third-party claims integrations and resolve interface-related issues. Analyze claim denials, reimbursement variances, and claims processing failures to identify root causes and implement corrective actions. Participate in Epic payment group initiatives and workflow design sessions to align system functionality with business requirements. Support system testing, validation, defect resolution, and go-live readiness activities across the HB Claims application. Assist with end-user training, workflow adoption, and knowledge transfer efforts before and after go-live. Provide command center, at-the-elbow, and post-live stabilization support during critical implementation phases. Identify opportunities to improve claims workflows, reimbursement outcomes, and overall revenue cycle performance. Partner with revenue cycle, operational, and IT teams to establish best practices and optimize claims-related processes. Work onsite as needed during key implementation, go-live, and stabilization milestones. #J-18808-Ljbffr Insight Global
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