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Job Title: Epic Certified HB / PB Claims Analyst
Position Type: Full Time
Work Location: 100% Remote in the US
ABOUT THIS ROLE / TEAM POSITION
Medix Technology is hiring an Epic HB / PB Claims Analyst to help support one of our major Health System clients during an Epic Implementation.
This role will be working remotely to take on support tickets and resolve workflow issues across Epic Resolute Hospital Billing and Professional Billing modules. Some experience with both HB and PB is required,, with a current Epic Certification in either HB or PB required. Additionally, familiar with Revenue Guardian is a huge plus
ABOUT MEDIX
For over two decades, Medix Technology and its consultants have focused exclusively on healthcare, maintaining the highest standards in specialized Epic expertise and providing dedicated Epic solutions. We are seeking an individual who is passionate about supporting Epic Claims and wants to join an incredible team. This is a full-time placement opportunity that offers paid vacation time, group Medical insurance, a 401K match, and more.
DAY TO DAY RESPONSIBILITIES
- Working remotely to take support tickets for Epic's Resolute Hospital Billing (HB) and Professional Billing (PB) modules.
- Troubleshooting the claims processing and billing components of the Epic Resolute Hospital Billing system to ensure accurate and timely healthcare reimbursements
- Working with Revenue Guardian to catch missing or unbilled charges before claims are submitted
- Managing electronic claim creation, charge router logic, remittance processing, and billing work-queues.
- Support & Troubleshooting, resolving incident tickets, fixing claim edit errors, and addressing clearinghouse or government payer rejections.
- Partnering with revenue cycle teams to optimize workflows, reduce claim denials, increase clean claim rates, and accelerate reimbursements.
- Assisting with product testing & upgrades. Supporting system testing, and applying required build updates during upgrade cycles.
- Collaborating and acting as a technical liaison between IT, billing operations, compliance auditors, and Epic representatives.
REQURED SKILLS & QUALIFICATIONS
- Must have a current Epic Hospital Billing (HB) or Professional Billing (PB) Certification
- Seeking someone who has professional experience in both HB and PB (heavier in one > the other is acceptable)
- Experience with Revenue guardian
For California Applicants:
We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO) , and the California Fair Chance Act (CFCA).
This position is subject to a background check based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.
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