Epic Hospital Billing (HB) Analyst - Contracts, Claims & Remittance

Role Description

CTG is seeking 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.

• 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.

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.

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!

Salary Information

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.