Job Title:
Epic Billing Claims & Electronic Remittance Analyst
Department:
Epic / Revenue Cycle
Full Time/PRN:
Full TIME
Job Summary
The Epic Billing Claims and Electronic Remittance Analyst is responsible for the design, build, optimization, and support of Epic Revenue Cycle functionality related to claims submission, electronic remittance advice (ERA), and payer connectivity. This role partners with Revenue Cycle, Patient Financial Services, IT, and external payers to ensure accurate and timely billing, reimbursement, and compliance.
Essential Duties & Responsibilities
Application Build & Configuration: Configure and maintain claims, ERA workflows, and revenue cycle functionality; Build payer edits, claim formats, remittance routing, and posting logic; Support clearinghouse integrations and EDI transactions (837, 835, 276/277, 999). Claims & Remittance Operations: Troubleshoot claim rejections, denials, and posting issues; Analyze payer responses; Support payment posting and reconciliation; Improve first-pass claim acceptance. Optimization & Reporting: Analyze workflows and implement improvements; Develop reports and dashboards; Support system upgrades and enhancements. Collaboration & Governance: Partner with stakeholders and vendors; Participate in governance and project teams; Support testing activities; Provide training and documentation. Compliance & Quality: Ensure regulatory compliance (CMS, HIPAA); Support audits; Follow change management standards.
Qualifications
Bachelor’s degree in Information Systems, Business, Healthcare Administration, or a related field; or equivalent experience.
Hands-on experience supporting revenue cycle with focus on claims and electronic remittance.
Understanding of healthcare billing workflows and payer interactions.
Knowledge of EDI transactions (837, 835) and remittance processes.
Strong analytical, problem‑solving, and troubleshooting skills.
Excellent communication and customer service abilities.
Epic certification in Billing or ability to obtain within 90 days; Experience with Epic Hospital or Professional Billing; Experience supporting claims and remittance workflows.
1–3+ years of Epic experience preferred (Hospital Billing, Professional Billings, Claims, and Remittance).
Skills & Competencies
Ability to translate billing workflows into Epic configurations; Strong attention to detail; Ability to work independently and collaboratively; Strong time management and prioritization; Ability to handle sensitive information; Experience with Epic Hyperspace, Reporting Workbench, and SmartTools preferred.
Working Conditions
Standard office or hybrid environment; Occasional after-hours or on-call support for upgrades, go-lives, or critical workflows.
All candidates must be able to perform the essential functions of this position. The American with Disabilities Act (ADA) requires that reasonable accommodations be made for qualified individuals to help perform the essential functions of the position. South Central Regional Medical Center is an equal opportunity employer and does not discriminate based on race, color, religion, sex, gender, national origin, age, disability, or genetic information.
Job details are sourced from the employer's original posting.
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