Epic Hospital Billing Claims and Remittance Analyst

The Role

Functions under the direction of the Application Manager, the Epic Hospital Billing Claims and Remittance Analyst provides advanced system-level support of multi-user clinical or financial applications, operating systems, hardware, software, and reporting tools, including installation, configuration, training, maintenance, and end user support of complex systems.

Requires advanced knowledge of systems analysis. In-depth knowledge of project management concepts and methodology. Able to lead and participate in project planning sessions. Ability to establish project goals, milestones, and procedures. Able to manage multiple projects with varying levels of complexity.

What You’ll Do Day-to-Day

• Initiative: Takes care of responsibilities and work efforts without being asked to do so. Demonstrates ownership of assigned tasks and facilitates followthrough. Seeks out opportunities to take on additional responsibilities. Offers constructive recommendations and proposes courses of action in support of team responsibilities.
• Decision Making / Judgment: Recognizes problems and how they relate to other areas of the system. Systematically gathers information, seeks input from others. Is able to articulate the underlying issues of the problem, sort through complex issues, and evaluate potential solutions. Takes the lead in seeking input and receiving consensus from others, making timely and difficult decisions. Can implement the correct solution to resolve the problem. Communicates decisions to others and evaluates the results of the decision.
• Results Focused: Sets challenging personal goals with achievable dates. Works with others on the team to set and meet team goals. Prioritizes and takes ownership of tasks, overcomes obstacles by researching and asking peers questions. Accepts accountability, and ownership of meeting deadlines.
• Adaptability/Flexibility: Quickly adapts to change in the performance of duties. Remains calm and composed under stressful situations. Persuades others to stay calm and focused on the main goals. Promotes and demonstrates open-mindedness towards change. Seeks out opportunities to affect positive changes to solve business or clinical challenges.
• Creativity / Innovation: Brings new thoughts and ideas to the conversation and can execute, challenges the status quo, leads brainstorming sessions with other team members. Takes risks, supports change, and encourages innovation. Explores alternative solutions. Networks with peers both internal and external to Xtensys.

Who You Are & What You’ll Bring

• Proven Track Record: 3 years of hands-on Epic build experience and relevant experience
• Industry Expertise: Apply a comprehensive understanding of Hospital Billing (HB), Revenue Cycle workflows, medical terminology, and payer requirements to drive system accuracy.
• System Lifecycle Management: Execute full lifecycle system builds, including rigorous testing, validation, and troubleshooting of claim issues during upgrades and implementations.
• Technical Configuration: Configure and maintain core HB components, including the charge router, claims, remits, SBO, and patient statements.
• Revenue Cycle Optimization: Resolve claim edits, rejections, and denials by designing and configuring strategic claim edit rules to enhance performance.
• Collaborative Problem Solving: Synchronize system features with business objectives by partnering with Revenue, Clinical, and IT teams.
• Strategic Troubleshooting: Investigate complex system discrepancies to develop and deploy sustainable, long-term technical solutions.
• End User Advocacy: Partner with the training team to deliver high-quality support and technical troubleshooting for staff and clinicians.
• Effective Communication: Facilitate professional interactions and clear communication between stakeholders, technical staff, and end users.
• Community Connect: Prior experience supporting Epic Community Connect partners is highly preferred.
• Flexibility: Ability to participate in a scheduled on-call rotation to ensure continuous system stability and support.
• Education/Certifications: Bachelor's degree, preferred
• Travel Requirements: 25% (for 'golives', pre/post and may require during implementation such as GLRA)
• Physical Requirements: Sedentary work: Exerting up to 10 pounds of force occasionally in carrying, lifting, pushing, and pulling objects. Sitting most of the time, with walking and standing required only occasionally.