Epic System Analyst

Flexton Inc.; Oakland (CA); On-site; USD 85,000 - 110,000; Full time

Job summary

Flexton Inc. in Oakland, CA is seeking a Billing/RCM specialist to load and maintain payer plans and fee schedules in Epic, ensuring alignment with contracts and payer requirements.

You will map fee structures and collaborate closely with Billing, Contracting, and RCM teams to resolve discrepancies. The role includes end-to-end testing of fee and plan builds, documenting test cases and validation results, troubleshooting configuration issues, and supporting go-live readiness and

Qualifications

• Load and maintain payer plans and fee schedules in Epic.
• Test and validate fee mapping and contract adherence.
• Collaborate with RCM, Billing, and Contracting teams to identify gaps and opportunities.
• End-to-end testing of fee and plan builds with test cases and results.
• Troubleshoot issues related to plan configuration and fee schedule mapping.
• Maintain version control and documentation for loaded plans and fee schedules.
• Support go-live readiness activities and post-implementation validation.
• Annual review and update of plans within Epic.

Responsibilities

• Load and maintain payer plans and fee structures within Epic.
• Perform testing and validation to ensure correct fee mapping and contract adherence.
• Collaborate with RCM, Billing, and Contracting teams to identify gaps, discrepancies and opportunities.
• Conduct end-to-end testing of fee and plan builds, documenting test cases and validation results.
• Troubleshoot issues related to plan configuration and fee schedule mapping.
• Maintain version control and documentation for all loaded plans and fees.
• Participate in go-live readiness activities and provide post-implementation validation.
• Annual review and update of plans within Epic.

Skills

Fee mapping

Testing

Validation

Collaboration

Documentation

Version control

Tools

Epic

Job description

• : Load and maintain payer plans, benefit structures, and Payor and Employee plan fee schedules within Epic according to organizational and payer requirement
• s.Perform testing and validation to ensure correct fee mapping, contract adherence, and reimbursement accurac
• y.Collaborate with the RCM Business Analyst, Billing, and Contracting teams to identify configuration gaps, discrepancies and opportunitie
• s.Conduct end-to-end testing of fee and plan builds, documenting all test cases and validation result
• s.Troubleshoot issues related to plan configuration and fee schedule mapping, escalating as neede
• d.Maintain version control and documentation for all loaded plans and fee
• s.Participate in process improvement initiatives to enhance accuracy and efficiency of fee managemen
• t.Support go-live readiness activities and provide post-implementation validatio
• n.Annual review and update of plans within Ep