Epic Billing Analyst III, Day Shift, Epic Program

Adventisthealthcare; Gaithersburg (MD); Presencial; USD 77.000 - 118.000; Tempo integral

Benefícios oferecidos por esta vaga

Work-life balance

Recognition program

Free parking

Health coverage

Retirement plan

Paid time off

Tuition reimbursement

Employee assistance program

Resumo da vaga

Adventist HealthCare seeks an experienced Epic Billing Analyst III for our Epic Program. The role leads design for Resolute Hospital Billing, Professional Billing, and Single Billing Office, mentoring analysts, and partnering with revenue cycle and finance leaders to improve financial performance.

You will own end-to-end charge, claim, and payment integration, lead testing and go-live activities, and drive optimization to reduce denials and days in AR.

Qualificações

• Bachelor’s degree in business, finance, healthcare administration, health informatics, information technology, or related field.
• 7+ years in clinical/healthcare operations or IT, with leading complex Epic implementations or production support.
• Epic Resolute Hospital Billing and Professional Billing certifications required; CRCR preferred.

Responsabilidades

• Lead design for complex Resolute functionality across Hospital Billing, Professional Billing, and Single Billing Office; set build standards.
• Own end‑to‑end charge, claim, and payment integration strategy, including clearinghouse connections and payer enrollment dependencies.
• Lead billing testing strategy, go‑live support, and revenue cycle cutover planning.
• Provide production support, mentor analysts, and drive denial reduction and optimization.
• Collaborate on governance decisions, billing compliance, and audit support.

Conhecimentos

Epic Resolute

Billing expertise

Leadership

Mentoring

Formação

Bachelor's degree

Ferramentas

Epic Resolute

Descrição da vaga

Support Center

Adventist HealthCare seeks to hire an experienced Epic Billing Analyst III for our Epic Program who will embrace our mission to extend God’s care through the ministry of physical, mental, and spiritual healing.

The Epic Billing Analyst III is the senior technical and functional expert for Epic Resolute Hospital Billing, Professional Billing, Single Billing Office, and claims and remittance at AHC. The Analyst leads design for complex billing workflows, guides and mentors other analysts, and partners with revenue cycle, finance, and compliance leaders to improve financial performance, and serves as a billing lead for the Epic go‑live.

As an Epic Billing Analyst III, you will:

• Resolute Build and Configuration: Lead the design of complex Resolute functionality across Hospital Billing, Professional Billing, and Single Billing Office, including charge capture strategy, claims and remittance, reimbursement and contract modeling, and work queue design. Set build standards, review the build of other analysts, and make design recommendations to revenue cycle leaders.
• Claims, Remittance, and Charge Integration: Own the end‑to‑end charge, claim, and payment integration strategy, including clearinghouse connections, payer enrollment dependencies, and charge capture from all clinical applications. Lead root‑cause analysis of complex claim, denial, and reimbursement issues.
• Testing, Implementation, and Go‑Live Support: Lead the billing testing strategy, including integrated charge‑to‑payment testing and claim validation with key payers. Lead revenue cycle cutover planning, including accounts receivable conversion and legacy system wind‑down, and serve as a billing lead in the go‑live command center.
• Production Support and Optimization: Serve as the escalation point for complex billing, coding and CDI issues. Lead optimization projects that reduce denials, days in accounts receivable, and manual work, using Epic reporting and revenue cycle metrics. Lead the assessment of Epic upgrades and new functionality for Resolute. Take on‑call rotation if needed.
• Compliance, Governance, and Collaboration: Mentor Analyst I and II staff and coordinate work assignments. Partner with revenue cycle, compliance, and finance leaders on governance decisions, billing compliance (CMS and payer rules, the No Surprises Act, and price transparency), and audit support.

Qualifications include:

• Bachelor’s degree in business, finance, healthcare administration, health informatics, information technology, or a related field; an equivalent combination of education and relevant experience may be considered.
• 7- plus years of direct clinical, healthcare operations, clinical information systems, application support, or related experience, including substantial experience leading complex implementations, upgrades, optimization, or production support in an integrated EHR environment. Epic experience is preferred.
• Experience leading the work of other analysts or project teams is preferred; formal supervisory experience is not required.
• Epic Resolute Hospital Billing and Professional Billing certification required; additional Resolute certifications preferred. HFMA Certified Revenue Cycle Representative (CRCR) or a similar revenue cycle credential is preferred.
• Ability to participate in on‑call rotation, after‑hours support, upgrades, and go‑live activities, including extended hours during the go‑live and around month‑end and billing deadlines.
• Epic Assessment Requirement
• Epic Certification Requirement

As part of the interview process, candidates advancing to the final stages of consideration will be required to complete a two‑part online assessment through Honorlock, Epic’s testing partner. The assessment provides additional insight into competencies important for success in the roles. Honorlock utilizes AI‑assisted proctoring technology to help maintain the integrity of the assessment process. Additional details will be provided to candidates selected to move forward in the hiring process.

All analysts hired will be required to become Epic certified. This requires offsite travel to Epic in Wisconsin in February 2027 to complete certification requirements.

Work Schedule

Employment Type: Full‑time

Hours per Week: 40 hours/week

Typical Daily Schedule: 8 am‑5 pm, Monday through Friday

Shift Type: Day Shift

Holiday Requirements: Follow the company holiday calendar

Occasional nights/weekends and travel to support the implementation.

Pay Range

$77,313.60 - $117,873.60

If the salary range is listed as $0 or if the position is Per Diem (with a fixed rate), salary discussions will take place during the screening process.

Under the Fair Labor Standards Act (FLSA), this position is classified as:

United States of America (Exempt)

At Adventist HealthCare our job is to care for you.

Benefits

• Work life balance through nonrotating shifts
• Recognition and rewards for professional expertise
• Free Employee parking
• Medical, Prescription, Dental, and Vision coverage for employees and their eligible dependents effective on your date of hire
• Employer-paid Short & Long-Term Disability, Basic Life Insurance and AD&D, (short-term disability buy-up available)
• Paid Time Off
• Employer retirement contribution and match after 1-year of eligible employment with a 3-year vesting period
• Voluntary benefits include flexible spending accounts, legal plans, and life, pet, auto, home, long term care, and critical illness & accident insurance
• Subsidized childcare at participating childcare centers
• Tuition Reimbursement
• Employee Assistance Program (EAP) support

As a faith-based organization, with over a century of caring for the communities in the Maryland area, Adventist HealthCare has earned a reputation for high-quality, compassionate care. Adventist HealthCare was the first and is the largest healthcare provider in Montgomery County.

If you want to make a difference in someone’s life every day, consider a position with a team of professionals who are doing just that, making a difference.

COVID-19 Vaccination

Adventist HealthCare strongly recommends all applicants to be fully vaccinated for COVID-19 before commencing employment. Applicants may be required to furnish proof of vaccination.

Tobacco and Drug Statement

Tobacco use is a well‑recognized preventable cause of death in the United States and an important public health issue. In order to promote and maintain a healthy work environment, Adventist HealthCare will not hire applicants for employment who either state that they are nicotine users or who test positive for nicotine and drug use.

While some jurisdictions, including Maryland, permit the use of marijuana for medical purposes, marijuana continues to be classified as an illegal drug under the federal Controlled Substances Act. As a result, medical marijuana use will not be accepted as a valid explanation for a positive drug test result.

Adventist HealthCare will withdraw offers of employment to applicants who test positive for Cotinine (nicotine) and marijuana. Those testing positive are given the opportunity to re‑apply in 90 days, if they can truthfully attest that they have not used any nicotine products in the past ninety (90) days and successfully pass follow‑up testing. (“Nicotine products” include, but are not limited to: cigarettes, cigars, pipes, chewing tobacco, e‑cigarettes, vaping products, hookah, and nicotine replacement products (e.g., nicotine gum, nicotine patches, nicotine lozenges, etc.).

Equal Employment Opportunity

Adventist HealthCare is an Equal Opportunity/Affirmative Action Employer. We are committed to attracting, engaging, and developing the best people to cultivate our mission‑centric culture. Our goal is to have a welcoming, equitable, and safe place to work and grow for all employees, no matter their background. AHC does not discriminate in employment opportunities or practices on the basis of race, ethnicity, color, religion, sex, national origin, age, disability, sexual orientation, gender identity, pregnancy and related medical conditions, protected veteran status, or any other characteristic protected by law.

Adventist HealthCare will make reasonable accommodations for applicants with disabilities, in accordance with applicable law. Adventist HealthCare is a religious organization as defined under applicable law; however, it will endeavor to provide reasonable accommodations for applicants’ religious beliefs.

Applicants who wish to request accommodations for disabilities or religious belief should contact the Support Center HR Office.