Epic Professional Billing Analyst

Job Description: Epic Professional Billing Analyst

Experience Level: Mid-Senior

Experience Required: 5+ Years

Education Level: Bachelors Degree

Job Function: Information Technology / Healthcare Revenue Cycle

Industry: Healthcare Software & Systems

Location: Long Island, New York - Hybrid.

Relocation Assistance: No

Visa Sponsorship Eligibility: No

Position Summary

We are seeking a certified and experienced Epic Professional Billing Analyst to join our team. In this critical role, you will be responsible for the configuration, maintenance, optimization, and support of the Epic Professional Billing (Resolute) module. Your expertise will be vital in ensuring accurate billing, efficient claims processing, and seamless reimbursement workflows for professional services, directly impacting the financial health of our organization.

Key Responsibilities

• System Configuration & Build: Configure, customize, and maintain the Epic Professional Billing application, including components such as the Charge Router, Workqueues, Collection Agency Workflows, Statement Processing, Benefit Engine, and Estimates to meet specific business needs.
• Project Execution & Support: Build, test, and migrate system changes to production. Act as the primary support contact for application end-users, providing troubleshooting and resolving issues related to billing, claims, and reimbursement. Provide rotating on-call support.
• Workflow Analysis & Optimization: Analyze existing financial and revenue cycle workflows to identify and implement leading-practice improvements. Collaborate with IT, finance, and clinical stakeholders to ensure the Epic system aligns with and enhances business operations.
• Training & Documentation: Develop and conduct training for end-users on Epic Professional Billing functionality and workflows. Create and maintain detailed documentation for system configurations and internal procedures.
• Compliance & Upgrades: Maintain required Epic certifications and stay current with new Epic technologies and updates. Manage compliance with industry standards, including electronic claim formats (X12 4010/5010) and medical coding systems (ICD-10, CPT). Assess the impact of new Epic releases and recommend implementation strategies.
• Must-Have Qualifications & Skills

Certification: Current certification in Epic's Professional Billing module is required.

Experience: Minimum of 5 years of hands-on experience as an Epic Professional Billing Analyst, including direct configuration and build experience.

Technical Expertise: Proven, in-depth knowledge of Epic's Professional Billing module, including demonstrated experience with:

• Charge Router configuration
• Workqueue management
• Collection Agency Workflows
• Statement Processing
• Benefit Engine and Estimates
• Healthcare Knowledge: Strong understanding of end-to-end healthcare revenue cycle processes, medical billing codes (CPT, ICD-10), and insurance procedures.

Education: Bachelors degree in Computer Science, Information Technology, Healthcare Administration, or a related field.

Preferred Skills

• Experience with system implementation and upgrade projects.
• Proficiency with Microsoft Office Suite, including Visio and Project.
• Excellent analytical and problem-solving abilities with a strong attention to detail.
• Superior interpersonal, communication, and collaboration skills.
• Self-motivated team player with the ability to manage tasks and projects effectively.

How to Apply

If you are a certified Epic Professional Billing professional with the required experience, we encourage you to apply. Please submit your resume and a cover letter detailing your relevant experience and certifications.

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We are an equal opportunity employer.