Epic Claims Analyst III

Job#: 3042045

Job Description:
Epic Certified Applications Analyst III - Claims (Revenue Cycle)

Location: Remote (Preferred: Florida)

Job Type: Direct Hire / Full-Time

Salary Range: based on experience
Overview

Apex Systems is seeking an experienced Epic Certified Applications Analyst III - Claims to join a leading healthcare organization. This is a full-time, direct hire opportunity supporting Revenue Cycle operations and claims management initiatives.

This position is primarily remote, with occasional onsite visits for team meetings and department events. All approved travel expenses for onsite visits will be covered by the client.

The ideal candidate will have deep expertise in Epic Claims workflows, healthcare billing operations, and reimbursement processes, along with Epic certification in either Hospital Claims or Professional Claims.
Position Summary

The Epic Certified Applications Analyst III - Claims is responsible for the design, optimization, maintenance, and support of Epic Claims applications and related revenue cycle workflows. This individual will collaborate with operational leaders, billing teams, technical teams, and external vendors to ensure accurate claims generation, submission, processing, and reimbursement.

The analyst will serve as a subject matter expert, providing ongoing support, troubleshooting, workflow enhancements, and system optimization efforts that improve operational efficiency and financial performance.
Key Responsibilities

• Maintain, configure, and support Epic Claims applications and associated revenue cycle workflows.
• Analyze and resolve claims-related system issues impacting billing, reimbursement, and payment processing.
• Collaborate with business stakeholders to gather requirements and implement workflow improvements.
• Support claim generation, claim edits, clearinghouse integrations, payer requirements, and reimbursement processes.
• Evaluate current system functionality and recommend enhancements to improve operational efficiency and financial outcomes.
• Troubleshoot application issues and work closely with technical teams and vendors to resolve defects.
• Participate in testing, validation, upgrades, and system implementations.
• Create and maintain documentation for system configurations, workflows, and support procedures.
• Provide ongoing production support and serve as a key resource for revenue cycle operations.
• Ensure compliance with regulatory requirements, payer guidelines, and organizational standards.

Required Qualifications

• Epic certification or accreditation in Hospital Claims or Professional Claims.
• Minimum of 5 years of Epic application analyst experience supporting Revenue Cycle functions.
• Strong understanding of healthcare billing, claims processing, reimbursement workflows, and revenue cycle operations.
• Experience troubleshooting complex claims issues and optimizing system performance.
• Ability to collaborate effectively with clinical, operational, and technical stakeholders.
• Strong analytical, problem-solving, and communication skills.

Preferred Qualifications

• Certifications in both Hospital Claims and Professional Claims.
• Experience supporting Hospice billing and claims workflows.
• Experience working within large healthcare systems or integrated delivery networks.
• Familiarity with clearinghouse integrations and payer-specific claim requirements.

Why Apply?

• Full-time direct hire opportunity
• Remote work environment
• Occasional onsite travel fully covered by the client
• Competitive compensation and benefits package
• Opportunity to support critical Revenue Cycle and Claims initiatives within a leading healthcare organization

Interested candidates should apply with an updated resume highlighting Epic Claims certification(s), Revenue Cycle experience, and relevant healthcare billing expertise.

Apex Systems is an equal opportunity employer. We do not discriminate or allow discrimination on the basis of race, color, religion, creed, sex (including pregnancy, childbirth, breastfeeding, or related medical conditions), age, sexual orientation, gender identity, national origin, ancestry, citizenship status, genetic information, disability, veteran status, military status, marital status, or any other protected characteristic under applicable federal, state, or local law. Qualified applicants with arrest or conviction records will be considered for employment in accordance with applicable law. If you require assistance or accommodation due to a disability during the application or recruitment process, please notify Apex Systems.

Everforth Apex is a world-class IT services company that serves thousands of clients across the globe. When you join Everforth Apex, you become part of a team that values innovation, collaboration, and continuous learning. We offer quality career resources, training, certifications, development opportunities, and a comprehensive benefits package. Our commitment to excellence is reflected in many awards, including ClearlyRateds Best of Staffing in Talent Satisfaction in the United States and Great Place to Work in the United Kingdom and Mexico.

Everforth Apex uses a virtual recruiter as part of the application process. Click for more details. By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from Everforth Apex and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy at

Everforth Apex Benefits Overview: Everforth Apex offers a range of supplemental benefits, including medical, dental, vision, life, disability, and other insurance plans that offer an optional layer of financial protection. We offer an ESPP (employee stock purchase program) and a 401K program which allows you to contribute typically within 30 days of starting, with a company match after 12 months of tenure. Everforth Apex also offers a HSA (Health Savings Account on the HDHP plan), a SupportLinc Employee Assistance Program (EAP) with up to 8 free counseling sessions, a corporate discount savings program and other discounts. In terms of professional development, Everforth Apex hosts an on-demand training program, provides access to certification prep and a library of technical and leadership courses/books/seminars once you have 6+ months of tenure, and certification discounts and other perks to associations that include CompTIA and IIBA. Everforth Apex has a dedicated customer service team for our Consultants that can address questions around benefits and other resources, as well as a certified Career Coach. You can access a full list of our benefits, programs, support teams and resources within our 'Welcome Packet' as well, which an Everforth Apex team member can provide.

Everforth Apex Systems is an equal opportunity employer. We do not discriminate or allow discrimination on the basis of race, color, religion, creed, sex (including pregnancy, childbirth, breastfeeding, or related medical conditions), age, sexual orientation, gender identity, national origin, ancestry, citizenship, genetic information, registered domestic partner status, marital status, disability, status as a crime victim, protected veteran status, political affiliation, union membership, or any other characteristic protected by law. Everforth Apex will consider qualified applicants with criminal histories in a manner consistent with the requirements of applicable law.

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