Epic SBO Reimbursement Specialist

Bay Area Hospital District; United States; On-site; USD 63,000 - 86,000; Full time

Job summary

Bay Area Hospital is seeking a Coordinator SBO Reimbursement to build and maintain the EHR contract modules in Epic for the SBO. The role focuses on system build, monitoring claim variances, and collaborating with payers to resolve reimbursement issues, while managing payer plan records and remit code mappings with Community Connect partners.

This mission-critical position requires expert knowledge of revenue cycle processes, strong analytical skills, and ability to work across departments.

Qualifications

• Minimum five years of work in healthcare revenue cycle.
• Two years of experience with hospital payer contracts and reimbursement methodologies.
• Experience with Epic, Experian, OnBase, Excel and other revenue cycle tools.

Responsibilities

• Interpret contract reimbursement rates and methodology for build purposes.
• Build and customize payer plan contracts in Epic.
• Ensure testing, QA, and documentation of contract builds.
• Track contract renewals and amendments.
• Manage payer plan records and remit code mapping with Community Connect partners.

Skills

Interpret payer contracts

Build contracts in Epic

Reimbursement analysis

Communication skills

Project management

Team collaboration

Education

Associate’s degree preferred

Bachelor’s degree preferred

Epic certifications

Tools

Epic

Experian

OnBase

Excel

Word

Teams

Craneware

Optum

Job description

Bay Area Hospital is seeking a Coordinator SBO Reimbursement to build and maintain the EHR contract modules in Epic for the SBO. The role focuses on system build, monitoring claim variances, and collaborating with payers to resolve reimbursement issues, while managing payer plan records and remit code mappings with Community Connect partners.

This mission-critical position requires expert knowledge of revenue cycle processes, strong analytical skills, and ability to work across departments.