Epic Lead Professional Billing/Claims Analyst

Tech Observer; United States; Remote; USD 110,000 - 150,000; Full time

Job summary

Tech Observer is seeking an experienced Epic healthcare IT professional to lead the Epic Patient Access implementation and ongoing support across the US. The role focuses on Epic Professional Billing and/or Claims with current certification and hands-on EHR experience.

The ideal candidate will drive design, testing, governance, and collaboration with IT and business stakeholders to ensure success from discovery through go-live and optimization. This is a remote USA contract position.

Qualifications

• Mastery of the Epic Professional Billing and/or Claims applications.
• Current Epic Professional Billing and/or Claims certification.
• Familiarity with all phases of patient access application implementation: discovery, validation, workflow design, build, testing, go-live, optimization.

Responsibilities

• Lead the Patient Access system analysis, design and build and project planning.
• Coordinate with IT, business stakeholders and vendors to meet milestones.
• Develop governance processes and ensure end-to-end project execution within budget and timelines.
• Provide training materials and knowledge transfer throughout the engagement.

Skills

Epic PB

Epic Claims

Epic Certification

EHR Implementation

Tools

Visio

Job description

Job Title: Epic Lead Professional Billing/Claims Analyst

Location: Remote whole USA

Duration: 12 Months Contract

Job Description:

We are seeking an experienced Epic healthcare IT professional to support the implementation, configuration, testing, and ongoing maintenance of Epic Patient Access applications. The ideal candidate will have strong expertise in Epic Professional Billing (PB) and/or Claims, along with current Epic certification and hands‑on experience supporting Epic EHR implementations.

Information Gathering, Support & Build

1. Assess and optimize system designs through review and analysis of user needs. Customize systems through system design and configuration to meet the changing business needs of the users; participate in the development of planning for remote hardware and communications facilities.

2. Coordinate and lead workflow design discussions, documentation of workflows, build & configuration, testing of the system, and analyze all associated issues

3. Develop, document, and facilitate execution of governance processes between business stakeholders and IT teams by building within the existing governance framework and committees. These processes should accommodate the end-to-end process including request submission, budget/funding of requests, project estimates, approval, prioritization, project execution, and outcomes measurement.

4. Coordinate with client department subject matter experts, IT, and third‑party vendors to ensure the data movement framework is built and configured to meet project milestones and timelines.

5. Create and execute project plans, estimate timeframes, outlines specific tasks, and identifies resources needed to complete projects on schedule and within budget. Monitor progress to keep projects on track by conducting regular project meetings and following up with areas that need assistance.

6. Analyze data processing needs; research and evaluate software on multiple platforms to assist users to meet their departmental goals; assist in developing the evaluation criteria for software.

7. Determine operating characteristics and requirements; develop or modify and document general system design; write detailed design specifications; conduct "walkthroughs" for proposed solutions to system problems.

8. Conduct feasibility studies; evaluate vendor products; make recommendations based on user requirements and systems analysis to ensure adequate planning.

9. Monitor the maintenance and enhancement of complex computer and telecommunications systems to ensure proper functionality; provide support, analysis, coordination, and assistance for networks, including disaster recovery.

10. Troubleshoot software problems through telephone and site visit support; provide technical assistance in planning, engineering, and architecture of unique systems for diverse applications; implement solutions to problems.

11. Conduct user training and develop user training materials.

12. Create, update, and maintain project documentation materials.

13. May install and maintain software; facilitate communication between clients and vendors regarding system maintenance issues; perform non‑routine adds, moves, and changes as needed.

14. Test and modify software for network compatibility; participate in the detailed design and development of new applications; may write database applications.

15. Update system software and modify system configurations; facilitate data communication between systems platforms.

16. Participate and represent the department in computer user meetings or meetings of related committees.

17. Create and generate reports and statistics to meet user and program requirements and interface with other departments, jurisdictions, and users on regulations and reporting requests.

18. Conduct database systems analysis and designs; may perform data normalization tasks; assist in developing relational databases; assist in performance of data conversion tasks and maintenance of data dictionaries.

19. Develop the testing of integration solutions (including data validation). Schedule and facilitate status, build and testing meetings, and other activities as required.

20. Lead the Patient Access systems analysis, design and build, project planning, implementation and testing, and conversions testing.

21. Work closely with EMR integration product managers to ensure they meet deadlines, provide status updates, and elevate issues.

22. Manage the resolution of outstanding issues before and after project go‑live events.

23. Maintain, publish, and disseminate technical reference manual and other integration solutions documentation.

24. Build in‑house technical capacity and provide knowledge transfer before contract completion.

25. As a member of the Patient Access Applications team, share responsibilities for support of the Epic Patient Access application. This includes resolving system issues, completing report build, completing project build efforts, attending team meetings, participating in integrated testing efforts, and other support and maintenance responsibilities.

26. Perform other duties as assigned.

Deliverables include, but are not limited to, the following:

• Weekly status reports.
• Project documentation on significant efforts (project plans, overall project documentation).
• Workflow Visio diagrams and documentation staff assigned tasks/responsibilities.
• Communications plan and materials for client internal communications.

MINIMUM QUALIFICATIONS

• Mastery of the Epic Professional Billing and/or Claims application.
• Current Epic Professional Billing and/or Claims certification.
• Familiarity with all phases of patient access application implementation is required, including discovery, validation, workflow and process design, application build, application testing, integrated testing, end‑user training, go‑live, optimization, maintenance, and upgrade.

DESIRED QUALIFICATIONS

• 7+ years of Epic EHR implementation experience
• Epic Certification and current CEE.
• Experience with Epic Reporting Workbench Reports
• Communication experience for strategic and tactical deployments
• Experience with Epic-integrated projects