Epic Billing & Reimbursement Systems Analyst II

Baylor Scott & White Health; Montpelier (VT); On-site; USD 65,000 - 100,000; Full time

Benefits offered by this job

Immediate health and welfare benefits

401(k) with match up to 5%

Tuition Reimbursement

PTO accrual from Day 1

Job summary

Baylor Scott & White Health seeks a specialist to support the preparation, implementation, testing, and maintenance of managed care and government reimbursement contracts within Epic Hospital Billing (HB) and Professional Billing (PB). This role includes monitoring contract performance and identifying underpayments and revenue opportunities.

The candidate will work with cross-functional teams to ensure accurate reimbursement, payer mapping, and adherence to CMS/Medicaid rules, in a busy

Qualifications

• Bachelor's or equivalent experience required.
• Five years of Managed Care, Government Finance, Revenue Cycle, Billing, or related healthcare fields.
• Experience with CMS or Texas Medicaid Programs.
• Experience in Epic HB/PB or any other EHR software.
• Business office operations / processes.
• Application troubleshooting.
• Managed Care contract and payer reimbursement.

Responsibilities

• Support the preparation, implementation, testing, and maintenance of managed care and government reimbursement contracts within Epic HB and PB.
• Monitor contract performance and identify underpayments and revenue opportunities.
• Collaborate with cross-functional teams to ensure accurate reimbursement and mapping to payers.

Education

Bachelor's degree or equivalent experience

Tools

Epic HB/PB or other EHR software

Job description

Baylor Scott & White Health seeks a specialist to support the preparation, implementation, testing, and maintenance of managed care and government reimbursement contracts within Epic Hospital Billing (HB) and Professional Billing (PB). This role includes monitoring contract performance and identifying underpayments and revenue opportunities.

The candidate will work with cross-functional teams to ensure accurate reimbursement, payer mapping, and adherence to CMS/Medicaid rules, in a busy