LEAD EPIC ANALYST, PROFESSIONAL BILLING

 

Lead IT Epic Analyst - Professional Billing and Claims Position Summary

The Lead Analyst for the Professional Billing IT team is responsible for the advanced design, building/configuring, testing, and support of the Epic Professional Billing application. As the subject matter expert, this role is key in ensuring system functionality meets complex billing workflows and operational efficiencies. The Lead Analyst partners with key operational stakeholders to translate business needs into Epic workflows, effectively enhancing application performance and use.
 

Principal Duties and Responsibilities

 

• Design, Build, and Support: Lead the design, configuration, testing, and support of the Epic Professional Billing application, ensuring alignment with departmental goals.
• Liaison: Act as the primary liaison between the PB IT team and operational counterparts to translate business needs into Epic workflows.
• Troubleshooting: Lead complex troubleshooting and triage efforts across Epic and third-party applications to ensure optimal system performance.
• Integration and Optimization: Act as the primary owner for integration efforts and optimizations, enhancing application use and performance.
• Leadership Communication: Lead presentations and communications with leadership, facilitating collaboration among team members.
• Gold Star Implementation: Champion the implementation of Gold Star and Staying Current functionalities to maintain system performance and improve operational efficiency.

 

Certifications

 

• Required: Epic Professional Billing certification
• Preferred: Charge Router certification
• Desirable: Additional Epic certifications or cross-certifications

 

Minimum Qualifications

 

• Bachelor’s degree in Information Systems, Healthcare Administration, Business, or related field, or equivalent work experience.
• Minimum of 7 years of Epic experience, with significant experience in Professional Billing.
• Strong analytical, troubleshooting, and problem-solving skills.
• Ability to work independently with minimal supervision while managing multiple priorities.
• Excellent communication and interpersonal skills, with the ability to collaborate effectively with clinical, financial, and IT stakeholders.

 

Preferred Qualifications

 

• Additional Epic certifications (e.g., Hospital Billing, Resolute, Claims, or related revenue cycle modules).
• Experience with revenue cycle operations, billing, and reimbursement processes in a healthcare setting.
• Knowledge and hands-on experience with Epic Charge Router and/or Charging workflows.
• Knowledge of SQL, reporting tools, or data extracts.
• Experience with project management methodologies and tools.
• Prior experience with Epic upgrade cycles, optimization initiatives, or strategic system projects.
• Expertise in Epic integration points and downstream system impacts.