Epic Hospital Billing Analyst

Job Title: Epic Analyst

Location: 100% Remote
Duration: 06+ Months

Job Description:

1. Core Certification & Domain Expertise

Required Certification

• Epic Hospital Billing (HB) Certification Mandatory
  Ensures the analyst has formal Epic training and validated expertise in:
  • Billing workflows
  • Revenue cycle processes
  • Claims, statements, and payments
  • Charge capture and routing

Preferred Certification

• Epic Charge Router Certification Preferred
  Indicates advanced skills in:
  • Configuring and maintaining charge routing rules
  • Ensuring charges flow correctly from clinical systems to billing
  • Reducing billing errors and revenue leakage

2. Epic Application Knowledge & Tools

The analyst must have hands-on experience with the following Epic modules and tools:

a. SlicerDicer (Reporting & Analytics)

• Build and customize reports and dashboards
• Analyze billing and revenue cycle data
• Support operational and financial reporting needs
• Assist leadership and finance teams with data-driven decisions

b. Statements

• Configure and maintain:
  • Patient statements
  • Billing formats and templates
• Ensure compliance with regulatory and organizational policies
• Troubleshoot statement generation and delivery issues

c. Charge Router

• Maintain charge routing logic for:
  • Professional and hospital charges
  • Department-specific charge flows
• Ensure correct mapping to:
  • Revenue codes
  • Cost centers
  • Billing workflows
• Investigate and resolve charge drop or misrouting issues

d. BCB (Benefit Coverage Build / Billing Claim Builder)

• Support configuration for:
  • Insurance plans
  • Coverage rules
  • Claim creation logic
• Ensure claims are generated accurately based on payer rules

e. Hospital Billing Workqueues (HB WQs)

• Manage and support the full range of HB Workqueues:
  • Charge review WQs
  • Claim edit WQs
  • Follow-up and denial WQs
  • Exception and error resolution WQs
• Optimize workflows to improve:
  • Billing turnaround time
  • Cash flow
  • Claim accuracy

3. Workflow & Functional Responsibilities

End-to-End Revenue Cycle Support

• Understand and support workflows from:
  • Charge capture claim creation billing payment posting follow-up
• Identify gaps or inefficiencies in current workflows
• Propose system improvements and optimizations

Troubleshooting & Issue Resolution

• Handle tickets related to:
  • Charge errors
  • Claim rejections
  • Statement issues
  • Reporting discrepancies
• Perform root cause analysis and resolution
• Escalate complex issues as needed

4. Support & Operational Duties

Production Support

• Provide day-to-day Epic HB support:
  • User questions
  • System issues
  • Data corrections
• Monitor system performance and billing queues

Upgrade Support

• Assist with Epic version upgrades by:
  • Reviewing release notes note
  • Testing new features
  • Validating billing workflows post-upgrade

Testing Responsibilities

• Perform:
  • Unit testing
  • Integrated testing
  • User Acceptance Testing (UAT)
• Validate:
  • Charge routing
  • Claims generation
  • Statements
  • Workqueues

Maintenance

• Maintain:
  • Build and configurations
  • Master files
  • Workflows
• Apply change requests and enhancements

5. Collaboration & Coordination

Internal Coordination

• Work closely with:
  • FTEs (Full-Time Employees)
  • Revenue Cycle Operations
  • Finance and Billing teams
  • Compliance and audit teams

Cross-Application Coordination

• Coordinate with other Epic teams such as:
  • Cadence (Scheduling)
  • Prelude (Registration)
  • Resolute PB (Professional Billing)
  • Orders and clinical applications
• Ensure integrated workflows across applications

6. Soft Skills & Professional Competencies

• Strong analytical and problem-solving skills
• Excellent communication with both technical and non-technical users
• Ability to manage multiple priorities (tickets, testing, upgrades)
• Documentation skills for workflows and build changes
• Attention to detail due to financial and regulatory impact