Epic Claims Analyst (HB and PB)

CereCore; Columbia (TN); Hybrid; USD 90,000 - 130,000; Part time

Benefits offered by this job

Remote work arrangements case‑by‑case

Job summary

CereCore is seeking an Epic Claims Analyst to design, configure, and support Epic systems across clinical, financial, and operational workflows. The role acts as a bridge between business stakeholders, clinicians, and technical resources to ensure compliant, efficient revenue cycle processes.

The incumbent will lead validation sessions, support go‑live events, and drive best practices for Epic and integrated third‑party apps, while ensuring security, SLAs, and regulatory compliance across the

Qualifications

• Bachelor’s degree in Healthcare IT, CS, Nursing or related field preferred.
• High School Diploma required.
• Active Epic Professional Billing Claims and Remittance certifications required.
• Epic Hospital Billing Claims and Remittance certification required.
• Experience in full‑lifecycles EHR/Epic implementations and upgrades.

Responsibilities

• Design, build, customize and maintain Epic Claims modules settings.
• Coordinate with clinicians and stakeholders to translate needs into Epic configurations.
• Perform testing across modules and third‑party systems before production.
• Provide on‑site go‑live support and resolve workflow or claim backlog issues.
• Lead governance and training, maintain documentation and training materials.

Skills

Billing lifecycle knowledge

Claims processes experience

Clinical/revenue-cycle workflows

Problem-solving and triage

Clear communication with clinical/tech

Education

Bachelor’s degree in Healthcare IT/CS/Nursing or related field

High School Diploma required

Tools

Epic Professional Billing Claims & Remittance

Epic Hospital Billing Claims & Remittance

Epic Charge Router (preferred)

Job description

About CereCore

CereCore is the staffing and consulting arm of HCA Healthcare, providing healthcare organizations with EHR implementations, IT and application support, IT managed services, technical staffing, strategic IT consulting, and advisory services. Our teams bring deep healthcare and technology expertise to help hospitals and health systems improve clinical, operational, and financial outcomes.

Title: Epic Claims Analyst

Location: Hybrid

Classification: Contract– 12+ months

Start Date: February/March 2027

About CereCore

CereCore is the staffing and consulting arm of HCA Healthcare, providing healthcare organizations with EHR implementations, IT and application support, IT managed services, technical staffing, strategic IT consulting, and advisory services. Our teams bring deep healthcare and technology expertise to help hospitals and health systems improve clinical, operational, and financial outcomes.

Position Overview

The Epic Claims Analyst is responsible for the design, configuration, build, implementation, optimization, and ongoing support of Epic applications that enhance clinical, financial, and operational workflows across the healthcare organization. This role serves as a key liaison between business stakeholders, clinical teams, and technical resources to ensure technology solutions align with organizational objectives, regulatory requirements, and best practices for patient care and operational excellence.

Working closely with operational leaders, project managers, end users, architects, technical leads, and engineers, the Epic Claims Analyst translates business and clinical requirements into effective Epic system configurations, integrations, workflows, reporting solutions, and training programs. The role is accountable for maintaining the integrity, security, and reliability of supported applications while ensuring compliance with established Service Level Agreements (SLAs), regulatory standards, and organizational policies.

The Epic Claims Analyst provides advanced technical and functional expertise throughout the application build and lifecycle, including requirements analysis, system design, build, testing, training, implementation, optimization, maintenance, and issue resolution. This individual leads process improvement initiatives, supports application governance activities, and drives the adoption of best practices for Epic and integrated third-party applications.

The position requires a strong understanding of healthcare operations, Epic application functionality, system integration, project delivery methodologies, and change management principles. Success in this role depends on the ability to collaborate across multidisciplinary teams, manage complex projects, and deliver innovative technology solutions that support high-quality patient care, efficient revenue cycle performance, and organizational goals.

Core Responsibilities

• System Build & Configuration: Design, build, customize, and maintain settings within Epic Claims modules.


• Workflow Analysis & Validation: Partner with clinicians, department managers, project managers, Epic representatives, and revenue cycle stakeholders to conduct workflow validation sessions, translating operational needs into system build.


• Testing & Quality Assurance: Execute application, integration, and regression testing across modules and third-party systems before moving builds to production environments.


• Go-Live & Stabilization Support: Provide on-site "at-the-elbow" support during go-live events, triage user tickets, and resolve critical workflow or claim-edit backlogs.


• Liaison & Communication: Coordinate with Epic representatives (Technical Services), vendor teams, project managers, operational stakeholders, and internal change‑control boards to track project milestones and compliance.


• Documentation & Training: Create build documentation, knowledge‑transfer guides, and assist with end‑user training and mentoring junior team members.

Requirements & Qualifications

• Education: Bachelor’s degree in Healthcare IT, Computer Science, Nursing, or a related field (or equivalent operational healthcare experience) preferred. High School Diploma required.


• Certification: Active certifications in Epic Professional Billing Claims and Remittance and Epic Hospital Billing Claims and Remittance are required. Certification in Charge Router is preferred.


• Experience: Direct experience participating in full‑lifecycles EHR/Epic implementations and upgrades.


• Technical & Soft Skills:
  
  
  
  • Knowledge of billing throughout the patient’s lifecycle through healthcare is required.
  
  
  • Experience with claims processes and insurance companies is required.
  
  
  • Strong knowledge of clinical, outpatient, or revenue‑cycle workflows preferred.
  
  
  • Problem‑solving and issue‑triage abilities under tight project deadlines.
  
  
  • Clear communication skills to bridge technical system details for non‑technical clinical staff.
  
  
  
  


• Logistics:
  
  
  
  • Ability to travel is required. Local candidates preferred.
  
  
  • Onsite required for kickoff and various events throughout the implementation lifecycle. Remote work may be arranged on a case‑by‑case basis, depending on department need.
  
  
  • On‑site for go‑live required.
  
  
  • Valid driver’s license required.