Epic HB/PB Revenue Cycle Analyst - Managed Care

Baylor Scott & White Health; Hartford (CT); On-site; USD 65,000 - 95,000; Full time

Benefits offered by this job

Health benefits

401(k) match

Tuition reimbursement

PTO starting Day 1

Job summary

Baylor Scott & White Health in Hartford seeks a contract and reimbursement analyst to support the preparation, implementation, testing, and maintenance of managed care contracts within Epic Hospital Billing (HB) and Professional Billing (PB).

You will monitor contract performance, identify underpayments, and collaborate with Revenue Cycle, Government Finance, IT, and payer representatives to optimize reimbursement.

Qualifications

• Bachelor's degree or 4 years of work experience above minimum qualification.
• 3–5 years of experience in a healthcare environment with Managed Care or Revenue Cycle responsibilities.

Responsibilities

• Configure payer reimbursement contracts in Epic HB/PB.
• Translate managed care contracts, reimbursement terms and fee schedules.
• Develop test scenarios to ensure correct reimbursement calculations in HB/PB.
• Research reimbursement discrepancies and collaborate with payer and internal teams for resolution.
• Maintain payer and plan mappings to connect contracts to payers, plans, products and locations.
• Maintain build specs, testing evidence, approvals, and change controls.
• Serve as a liaison to explain contract terms and Epic reimbursement logic to Revenue Cycle teams.
• Maintain knowledge of CMS, Medicare, and Medicaid reimbursement rules.

Skills

Managed Care

Revenue Cycle

Payer Contracts

Cross-functional Collaboration

Problem Solving

Education

Bachelor's degree

Tools

Epic HB/PB

Job description

Baylor Scott & White Health in Hartford seeks a contract and reimbursement analyst to support the preparation, implementation, testing, and maintenance of managed care contracts within Epic Hospital Billing (HB) and Professional Billing (PB).

You will monitor contract performance, identify underpayments, and collaborate with Revenue Cycle, Government Finance, IT, and payer representatives to optimize reimbursement.