Senior EPIC Analyst I - Professional Billing & Claims

Company Description

San Ysidro Health is a non-profit organization dedicated to delivering high-quality, compassionate, accessible, and affordable health care services for individuals and families. Founded in 1969 by community members seeking better medical care for their children, the organization has grown into a comprehensive health network serving more than 162,000 people across San Diego County. Its integrated system includes medical and dental clinics, behavioral health centers, HIV services, WIC nutrition centers, mobile medical units, school-based health centers, chiropractic services, pediatric developmental and teen clinics, a senior health center, and a Program for All-Inclusive Care for the Elderly (PACE). All program sites follow the Patient Centered Medical Home (PCMH) model, ensuring that patients are the central focus of care and services. Team members join a mission-driven organization committed to improving community health and health equity.

Role Description

The Senior EPIC Analyst I – Professional Billing & Claims is a full-time, remote role based in San Ysidro, CA. This role is responsible for configuring, maintaining, and optimizing Epic Professional Billing and Claims applications to support accurate, efficient revenue cycle operations. Day-to-day tasks include analyzing business requirements, designing and building Epic workflows, performing system testing, validating upgrades, and troubleshooting billing and claims issues in collaboration with revenue cycle, finance, and clinical teams. The Senior EPIC Analyst I documents system changes, creates user training materials, and provides end-user support and education to ensure proper use of Epic tools. This role also monitors system performance, identifies process improvement opportunities, and participates in projects that enhance compliance, reporting, and reimbursement accuracy.

Qualifications

• Epic Professional Billing and Claims expertise, including configuration, workflow design, and troubleshooting in a complex healthcare environment.
• Revenue cycle and billing knowledge, such as professional fee billing, claims processing, payer rules, and basic understanding of coding and compliance.
• Technical and analytical skills in system analysis, data validation, testing, and documentation of system changes and business requirements.
• Collaboration and communication skills to work effectively with clinical, operational, and finance teams and to support end-users through training and guidance.
• Prior experience as an Epic analyst or similar healthcare IT role, preferably in a large multi-site or FQHC/community health environment.
• Epic certification in Professional Billing and related modules (or eligibility to obtain certification within organization timelines).
• Bachelor’s degree in information systems, health administration, business, or a related field; equivalent combination of education and experience may be considered.
• Ability to work on-site in San Diego, CA, manage multiple priorities, and support occasional after-hours or weekend activities for go-lives, upgrades, or issue