Professional Billing Analyst

About the role

Professional Billing Analyst position located in Martinez, CA (3 days onsite/week) with a duration of 6+ months. The role involves system maintenance and workflow optimization, building and implementing new workflows stemming from regulatory requirements.

Responsibilities

• Working on charge router updates and optimization.
• Maintenance tasks from incoming tickets and requests (e.g., new Bill Area, rule review and update, etc.).
• Attending and leading meetings with operations and the team.
• Keeping JIRA board up to date and monitoring backlog.
• Project‑based work including review of requirements, updating/optimizing build, testing, identifying errors, updating claim build and/or automations, and documenting processes.
• Documenting build and workflows.
• Claims build, including rule updates, automation setup, CDF and/or payer build.
• Upgrade‑based work.

Requirements

• Epic Professional Billing Admin certification (required)
• Epic Claims Build experience (required)
• Desirable: Resolute Professional Billing Claims and Electronic Remittance Administration experience (or at least Claims experience)