Epic HB Lead: Billing, Remittance & Contracts

Waterfall Technology Consulting Partners LLC; San Diego (CA); Remote; USD 100,000 - 150,000; Full time

Job summary

Waterfall Technology Consulting Partners LLC is seeking an experienced Epic Hospital Billing Analyst to lead end-to-end configuration, testing, and support of HB applications, ensuring accurate billing, reimbursement, and payer contract performance.

The ideal candidate possesses 5+ years of HB experience, Epic HB certification, and a deep knowledge of HB workflows, claims, remittance, prorations, and contract management; this is a remote, salaried role requiring Pacific Time availability.

Qualifications

• Epic HB certification or proficiency.
• 5+ years of Epic Hospital Billing (HB) analyst experience including HB Administration, Claims, Remittance, Contract Management, and Proration.
• Bachelor's degree or equivalent experience in IS/Healthcare or related field.
• Strong analytical, troubleshooting, and communication skills.

Responsibilities

• Analyze, design, configure, test, implement, and support Epic Hospital Billing (HB) applications
• Lead build, maintenance, and optimization of complex reimbursement contracts and payment methodologies
• Configure and support Epic Claims and Remittance functionality, including claim generation, payment posting, and reimbursement processing
• Collaborate with patient financial services, managed care, revenue integrity, finance, and operational leaders to improve billing and reimbursement outcomes
• Translate payer contract requirements into Epic HB system configuration
• Configure and support proration methodologies and reimbursement calculations
• Troubleshoot complex billing, payment, remittance, and contract-related issues
• Perform reimbursement validation and payment variance analysis
• Lead system testing, integrated testing, upgrades, enhancements, and payer contract updates
• Develop functional specifications, workflow diagrams, and support documentation
• Identify opportunities to improve workflow efficiency, reimbursement accuracy, and revenue cycle performance
• Provide production support and ongoing optimization recommendations
• Serve as a subject matter expert for Epic HB, Claims, Remittance, Contracts, and Proration

Skills

Epic HB

HB Administration

Claims Management

Remittance Processing

Contract Management

Proration Configuration

Reimbursement Analysis

Stakeholder Management

Education

Bachelor's degree in Information Systems / Healthcare Administration / Business

Job description

Waterfall Technology Consulting Partners LLC is seeking an experienced Epic Hospital Billing Analyst to lead end-to-end configuration, testing, and support of HB applications, ensuring accurate billing, reimbursement, and payer contract performance.

The ideal candidate possesses 5+ years of HB experience, Epic HB certification, and a deep knowledge of HB workflows, claims, remittance, prorations, and contract management; this is a remote, salaried role requiring Pacific Time availability.