Epic Consultant - Patient Refunds (Revenue Cycle)

• Posted 6 hours ago • Updated 2 hours ago
Contract Corp To Corp
Contract W2
$60/hr. on W2, $70/hr. on C2C
Fitment

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Job Details

Skills

  • EPIC
  • HEALTHCARE
  • Revenue Cycle Management
  • RCM
  • Accounts Payable

Summary

Job Title: Epic Consultant - Patient Refunds (Revenue Cycle)
Location: Remote
Experience: (8 15) years
Employment Type: Contract

About the Role

We are seeking an Epic Consultant with a strong Revenue Cycle Management (RCM) and Accounts Payable (A/P) background to support our Epic-based patient refund solution. The ideal candidate understands the business logic of patient credit balances and refunds at a deep level, can validate EOBs, and can identify why an Epic patient refund fails. A technical profile is welcome, but deep business understanding is essential. This is a non-clinical role.

Key Responsibilities

  • Support and analyze the end-to-end patient refund workflow in Epic, from credit balance identification
  • through refund request, approval, and payment issuance.
  • Validate EOBs (Explanation of Benefits) and remittance data to confirm that credit balances are valid and
  • refunds are owed to the patient rather than the payer.
  • Identify, research, and determine root cause when an Epic patient refund fails or is rejected.
  • Work with Epic Resolute (HB/PB/SBO) configuration and workqueues to review patient credit balances
  • and refund eligibility.
  • Use Epic KIT objects and related Epic modules to trace transactions, accounts, and refund records.
  • Map US payment data models to Epic KIT objects to support refund processing and integration.
  • Work with A/P processes for refund disbursement, including check and electronic payment handling and
  • reconciliation.
  • Document refund scenarios, exceptions, and resolution steps.
  • Collaborate with business, revenue cycle, finance, A/P, and IT teams to translate business rules into
  • system behavior and vice versa.
  • Support testing, validation, and issue resolution during the engagement.

Required Skills and Experience

  • Proven experience in Revenue Cycle Management (RCM) and Accounts Payable (A/P) in the US healthcare market.
  • Working knowledge of Epic Resolute (HB and/or PB) and related revenue cycle concepts.
  • Familiarity with Epic KIT objects and other relevant Epic modules and integration concepts.
  • Strong understanding of the Patient Refund workflow in Epic.
  • Ability to validate EOBs and reconcile them against account and credit balances.
  • Ability to identify the cause of failed Epic patient refunds and recommend or drive resolution.
  • Deep understanding of the business logic behind refunds, along with the technical flow (a technical profile is acceptable).
  • Strong analytical, documentation, and communication skills.
Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.
  • Dice Id: 90969158
  • Position Id: 2026-5066
  • Posted 6 hours ago
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