Epic HB & PB Analyst

ClinDCast, LLC

Wesley Chapel (FL)

Hybrid

USD 85,000 - 120,000

Full time

3 hours ago
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Job summary

ClinDCast, LLC seeks an Epic HB & PB Analyst to design, build, test, and support Hospital Billing and Professional Billing modules. You will collaborate with Revenue Cycle, Finance, Compliance, and clinical stakeholders to optimize billing workflows and ensure regulatory compliance across CMS, Medicare, Medicaid, and commercial payors.

The role emphasizes system configuration, upgrades, and data integrity, plus producing documentation and training for end users.

Qualifications

  • Bachelor’s degree in Information Systems, Healthcare Administration, or related field (or equivalent experience).
  • 3+ years of Epic HB and/or PB analyst experience in a healthcare environment.
  • Epic HB and/or PB certification (or ability to obtain within required timeframe).
  • Strong understanding of revenue cycle operations and healthcare billing processes.
  • Experience with system build, testing, and go-live support.
  • Strong analytical, problem-solving, and communication skills.

Responsibilities

  • Configure, maintain, and support Epic HB and PB modules according to organizational and regulatory requirements
  • Analyze business workflows and translate them into Epic system design and build
  • Perform system testing, integrated testing, and support user acceptance testing (UAT)
  • Troubleshoot issues, perform root cause analysis, and implement sustainable solutions
  • Manage Epic upgrades, enhancements, and new functionality releases
  • Partner with Revenue Cycle, Patient Financial Services, Coding, Compliance, and Finance teams
  • Support charge capture, claims processing, remittance posting, billing edits, and denial workflows
  • Ensure accurate setup for fee schedules, contracts, payors, and billing rules
  • Assist with regulatory changes (CMS, Medicare, Medicaid, commercial payors)
  • Support billing-related reporting, workqueues, dashboards, and operational metrics
  • Ensure system configuration aligns with compliance and audit standards
  • Assist with data validation, reconciliation, and revenue integrity initiatives
  • Develop and maintain system documentation, workflows, and build specifications
  • Provide end-user support and education as needed
  • Serve as a subject matter expert (SME) for Epic HB and PB functionality

Skills

Epic HB
PB analyst

Education

Bachelor's degree in Information Systems, Healthcare Administration, or related field
Epic HB/PB certification

Job description

The Epic HB & PB Analyst is responsible for the design, build, configuration, testing, implementation, and ongoing support of Epic Hospital Billing (HB) and Professional Billing (PB) modules. This role partners closely with revenue cycle, finance, compliance, and clinical stakeholders to ensure accurate billing workflows, regulatory compliance, and optimized revenue cycle performance.

Key Responsibilities
Epic Application Support & Optimization

Configure, maintain, and support Epic HB and PB modules according to organizational and regulatory requirements

Analyze business workflows and translate them into Epic system design and build

Perform system testing, integrated testing, and support user acceptance testing (UAT)

Troubleshoot issues, perform root cause analysis, and implement sustainable solutions

Manage Epic upgrades, enhancements, and new functionality releases

Partner with Revenue Cycle, Patient Financial Services, Coding, Compliance, and Finance teams

Support charge capture, claims processing, remittance posting, billing edits, and denial workflows

Ensure accurate setup for fee schedules, contracts, payors, and billing rules

Assist with regulatory changes (CMS, Medicare, Medicaid, commercial payors)

Data, Reporting & Compliance

Support billing-related reporting, workqueues, dashboards, and operational metrics

Ensure system configuration aligns with compliance and audit standards

Assist with data validation, reconciliation, and revenue integrity initiatives

Training & Documentation

Develop and maintain system documentation, workflows, and build specifications

Provide end-user support and education as needed

Serve as a subject matter expert (SME) for Epic HB and PB functionality

Required Qualifications

Bachelor’s degree in Information Systems, Healthcare Administration, or related field (or equivalent experience)

3+ years of Epic HB and/or PB analyst experience in a healthcare environment

Epic HB and/or PB certification (or ability to obtain within required timeframe)

Strong understanding of revenue cycle operations and healthcare billing processes

Experience with system build, testing, and go-live support

Strong analytical, problem-solving, and communication skills

Preferred Qualifications

Epic HB and PB certification

Experience with large health systems or multi-facility organizations

Knowledge of Medicare, Medicaid, and commercial payor billing rules

Experience supporting Epic upgrades and optimization initiatives

Familiarity with Epic Resolute, Clarity/Caboodle reporting, or revenue integrity workflows

Epic application configuration and support

Revenue cycle workflows and compliance

Data analysis and troubleshooting

Stakeholder communication and collaboration

Documentation and process improvement

ClinDCast offers Healthcare IT solutions and consulting services to payers, providers and life sciences organizations enabling them to enhance care delivery to patients.

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