System Administrator 3-Epic Analyst - Patient Billing

S M Software Solutions Inc. Logo

S M Software Solutions Inc.

📍Remote - United States

Summary

Join us as an Epic Analyst – Professional Billing and Claims, responsible for designing, building, optimizing, and supporting Epic’s Professional Billing (PB) and Claims modules. Collaborate with stakeholders to ensure solutions meet agency needs and regulatory requirements. Analyze existing workflows and configure Epic PB and Claims modules for end-to-end revenue cycle function. Design, build, test, and implement new features and fixes within Epic PB and Claims applications. Provide daily system support and issue resolution. Participate in Epic version upgrades and change control processes. Ensure all builds and processes align with regulatory standards.

Responsibilities

  • Analyze existing billing and claims workflows and configure Epic PB and Claims modules to support end-to-end revenue cycle function
  • Design, build, test and implement new features, enhancements, and fixes within Epic PB and Claims applications
  • Provide daily system support and issue resolution related to charge capture, claim edits, remittance processing, and denials
  • Participate in Epic version upgrades, regression testing, and change control processes to ensure continued system reliability
  • Ensure all build and processes align with regulatory standards (HIPAA, CMS, etc.)

Preferred Qualifications

  • Epic Professional Billing certification
  • Understanding of healthcare billing, coding, claims processing and reimbursement workflows
  • Knowledge of payer rules, denial management, and revenue cycle KPIs

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